Mother Lode Diagnostic Imaging INC in Jackson, CA
This organization bills under NPI 1053456061, an organization record issued on Feb 20, 2007 with the primary taxonomy Diagnostic Radiology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1053456061
- Legal name
- Mother Lode Diagnostic Imaging INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- Practice location
- 200 MISSION BLVD, Jackson, CA 95642
- Phone
- 209-223-0949
- Mailing address
- Saginaw, MI
- Enumerated
- Feb 20, 2007
- Record updated
- Oct 7, 2022
- Authorized official
- President (title as filed)
4 clinicians CMS lists with Mother Lode Diagnostic Imaging in Jackson
- David Jackson, MDDiagnostic Radiology Physician1063564748
- Julia Lee, MDDiagnostic Radiology Physician1619975356
- Baxter Richardson, MDDiagnostic Radiology Physician1306109905
- Gino Tagoylo, MDDiagnostic Radiology Physician1790982254
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the California secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Michigan?
The mailing address in the record (Saginaw, MI) is where the organization receives mail. Care is given at the practice location in Jackson.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.