LANDMARK IMAGING MEDICAL GROUP, INC. (NPI# 1124051354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051354 |
| Entity Type | Organization |
| Organization Name | LANDMARK IMAGING MEDICAL GROUP, INC. |
| Practice Address |
11620 Wilshire Blvd Ste. 100 Los Angeles CA 90025-1706 |
| Mailing Address |
Po Box 5667 Orange CA 92863-5667 |
| Practice Telephone | 3109147336 |
| Practice Fax Number | 3109147326 |
| Mailing Telephone | 8885988820 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-08-15 |
| Authorized Official Name | JEFFREY M. SILVERMAN (PRESIDENT) |
| Authorized Official Telephone | 3109147336 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CJ5919 | 01 | |
| CA | GR0091540 | 05 | |
| BLUE SHIELD OF CA | ZZZ02770Z | 01 |
| Street Address |
11620 WILSHIRE BLVD STE. 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254977 | Brittney Michaels | Behavioral Analyst | 11620 Wilshire Blvd, Suite 900, Los Angeles, CA 90025 | 2018-11-17 |
| 1437653029 | Monica Gonzalez | Massage Therapist | 11620 Wilshire Blvd, Los Angeles, CA 90025-1706 | 2018-03-20 |
| 1235637018 | Josue Trancoso | Behavior Technician | 11620 Wilshire Blvd, Los Angeles, CA 90025-1706 | 2018-01-26 |
| 1639531361 | Amos Anderson | Behavioral Analyst | 11620 Wilshire Blvd, 9th Floor, Los Angeles, CA 90025-1706 | 2016-03-22 |
| 1851791297 | Center for Applied Behavior Analysis LLC | Behavioral Analyst | 11620 Wilshire Blvd, 9th Floor, Los Angeles, CA 90025-1706 | 2014-09-03 |
| 1942556378 | Center for Behavioral, Educational & Social Therapies | Behavioral Analyst | 11620 Wilshire Blvd, Suite 450, Los Angeles, CA 90025-1706 | 2012-08-03 |
| 1619240645 | Rachel Taylor | Behavioral Analyst | 11620 Wilshire Blvd, 9th Floor, Los Angeles, CA 90025-1706 | 2012-02-22 |
| 1669759486 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 11620 Wilshire Blvd, Suite 200, Los Angeles, CA 90025-1706 | 2011-11-08 |
| 1922382415 | Michael Jason Goldman | Chiropractor | 11620 Wilshire Blvd, Suite 710, Los Angeles, CA 90025 | 2011-10-03 |
| 1538350889 | Barry S Seibel, M. D. Inc. | Ophthalmology | 11620 Wilshire Blvd, #711, Los Angeles, CA 90025-1706 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.