BEVERLY RADIOLOGY MEDICAL GROUP (NPI# 1154375723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154375723 |
| Entity Type | Organization |
| Organization Name | BEVERLY RADIOLOGY MEDICAL GROUP |
| Practice Address |
8750 Wilshire Blvd Beverly Hills CA 90211-2713 |
| Mailing Address |
Po Box 240086 Los Angeles CA 90024-9186 |
| Practice Telephone | 3106893100 |
| Practice Fax Number | 3106893130 |
| Mailing Telephone | 3104452800 |
| Mailing Fax Number | 3104452816 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HOWARD G BERGER (PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ07799Z | 01 |
| CA | GR0092133 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1093243404 | Beverly Radiology Medical Group | Radiology | 8227 Reseda Blvd, Reseda, CA 91335-1247 | 2017-05-30 |
| 1477872919 | Beverly Radiology Medical Group | Radiology | 800 E Highland Ave, San Bernardino, CA 92404-4006 | 2010-05-24 |
| 1306884648 | Beverly Radiology Medical Group | Radiology | 43713 20th St W, Lancaster, CA 93534-4628 | 2006-06-02 |
| 1538106752 | Beverly Radiology Medical Group | Radiology | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2006-05-31 |
| 1962456129 | Beverly Radiology Medical Group | Radiology | 10101 Riverside Dr, Toluca Lake, CA 91602-2517 | 2006-05-20 |
| 1710931381 | Beverly Radiology Medical Group | Radiology | 44305 Lorimer Ave, Lancaster, CA 93534-3700 | 2006-05-19 |
| 1043681752 | Beverly Radiology Medical Group | Radiology | 521 E Elder St, Suite 101, Fallbrook, CA 92028-3081 | 2015-10-08 |
| 1164760823 | Beverly Radiology Medical Group | Radiology | 15243 Vanowen St, Van Nuys, CA 91405-3605 | 2013-01-30 |
| 1801159736 | Beverly Radiology Medical Group | Radiology | 1901 W Lugonia Ave, Suite 110, Redlands, CA 92374-9703 | 2012-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Beverly Radiology Medical Group | 1510 Cotner Ave, Los Angeles, CA 90025 |
| Street Address |
8750 WILSHIRE BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608717 | Daniel J Wallace | Internal Medicine | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2005-06-09 |
| 1982029732 | Southern California Vascular Institute Inc | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2014-03-03 |
| 1154669315 | Katy M. Setoodeh, Md, Inc | Specialist | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2703 | 2013-01-23 |
| 1851652473 | Rhoda F Leichter Md A Medical Corporation | Surgery | 8750 Wilshire Blvd, Ste 150, Beverly Hills, CA 90211-2703 | 2012-05-30 |
| 1881981207 | Beverly Hills Vascular Access Center | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2011-07-06 |
| 1467756577 | John J. Regan, M.d., Inc. | Orthopaedic Surgery | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2011-01-04 |
| 1144539644 | Amiel Moshfegh | Radiology | 8750 Wilshire Blvd, Suite 150, Beverly Hills, CA 90211-2703 | 2010-09-30 |
| 1780818385 | Shalini Mahajan | Psychiatry & Neurology | 8750 Wilshire Blvd, Ste 350, Beverly Hills, CA 90211-2703 | 2009-05-11 |
| 1841444379 | John T. Knight, Md, Inc. | Specialist | 8750 Wilshire Blvd, 350, Beverly Hills, CA 90211-2703 | 2008-11-11 |
| 1225225212 | Stephen P Kay Md, Inc | Orthopaedic Surgery | 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| 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 |
|---|---|---|---|---|
| 1265837710 | Quantum Medical Radiology of California, PC | Radiology | 1916 San Ysidro Dr, Beverly Hills, CA 90210-1521 | 2014-10-27 |
| 1316362239 | Solano Diagnostics Imaging Medical Group | Radiology | 317 N Palm Dr, # 4c, Beverly Hills, CA 90210-4184 | 2014-02-28 |
| 1609040252 | Medical Imaging Partners, Inc | Radiology | 606 N Whittier Dr, Beverly Hills, CA 90210-3113 | 2008-04-15 |
| 1457547663 | M.r.diagnostic Imaging, Inc | Radiology | 116 N Swall Dr Apt 202, Beverly Hills, CA 90211-1926 | 2007-09-20 |
| 1558572867 | Britt James Sommerville | Radiology | 8900 Wilshire Blvd., Beverly Hills, CA 90211 | 2007-05-25 |
| 1942344338 | Graham Warden | Radiology | 16937 Beverly Rd, Beverly Hills, MI 48025-5537 | 2007-02-18 |
| 1396787610 | Access Medical Imaging Inc | Radiology | 155 N San Vicente Blvd, Beverly Hills, CA 90211-2303 | 2006-06-12 |
| 1821036526 | Nahid Nazarian | Radiology | 1340 Carla Ln, Beverly Hills, CA 90210-2509 | 2006-06-03 |
| 1538106752 | Beverly Radiology Medical Group | Radiology | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2006-05-31 |
| 1790733533 | Marshall Bein | Radiology | 8670 Wilshire Blvd Ste 101, Beverly Hills, CA 90211-2930 | 2006-05-04 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on BEVERLY RADIOLOGY MEDICAL GROUP.
| 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.