OrganizationActive
Northern Inyo Healthcare District
NPI 1679997175 · Diagnostic Radiology Physician · Bishop, CA
Provider details
- NPI number
- 1679997175
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christian Wallis, Chief Executive Officer(760) 873-2838
- License
- 240000179 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 Pioneer Ln
Bishop, CA 93514-2556
Phone: (760) 873-5811
Street-level locationGet directions
Mailing address
150 Pioneer Ln
Bishop, CA 93514-2556
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.