1. Home
  2. Directory
  3. California
  4. Avalon
  5. Radiology
  6. NPI Profile

EASTERN SIERRA RADIOLOGY
NPI 1417065103
Radiology - Diagnostic Radiology in Avalon, CA

Active since August 25, 2006
100 FALLS CANYON RD, AVALON, CA 90704(310) 510-0700(626) 445-0302 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Sierra Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SIERRA RADIOLOGY (NPI 1417065103) is a healthcare organization registered as a diagnostic radiology in Avalon, California and active in the NPI registry since August 2006. The organization lists John Willard Nesson, President, as its authorized official.

NPPES Registry Identity

NPI1417065103
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEASTERN SIERRA RADIOLOGY
Location Address100 FALLS CANYON RDAvalon, CA 90704-1563
Mailing Address333 N Santa Anita Ave, Suite #9Arcadia, CA 91006-2863 · (626) 445-0004 · Fax (626) 445-0302
Phone(310) 510-0700
Fax(626) 445-0302
Organization SubpartNo
Authorized OfficialJohn Willard NessonPresident · (626) 445-0004
Enumeration DateAugust 25, 2006
Last NPPES UpdateSeptember 17, 2007
✔ NPI 1417065103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A22120
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 FALLS CANYON RD, Avalon, CA 90704
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedHW16576CA
OtherZZZ04744ZCA · Blue Shield
Medicare UPINA22935CA
OtherA22120CA · Blue Cross
Medicaid00A221201CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DAVID HEIDERSCHEIDT MD
Family Medicine
100 FALLS CANYON RD
AVALON, CA 90704
Los Angeles County (310) 510-0700
CATALINA ISLAND MEDICAL CENTER
Special Hospital
100 FALLS CANYON RD
AVALON, CA 90704
Los Angeles County (310) 510-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Sierra Radiology's NPI number?

The NPI number for Eastern Sierra Radiology is 1417065103. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Eastern Sierra Radiology located?

Eastern Sierra Radiology is located at 100 Falls Canyon Rd, Avalon, CA 90704. The listed phone number is (310) 510-0700.

What is Eastern Sierra Radiology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Eastern Sierra Radiology was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.