WESTCHESTER ADVANCED IMAGING MEDICAL GROUP (NPI# 1306875034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306875034 |
| Entity Type | Organization |
| Organization Name | WESTCHESTER ADVANCED IMAGING MEDICAL GROUP |
| Practice Address |
8540 S Sepulveda Blvd Suite 111 Los Angeles CA 90045-3807 |
| Mailing Address |
Po Box 101418 Pasadena CA 91189-1418 |
| Practice Telephone | 3106459050 |
| Practice Fax Number | 3106456824 |
| Mailing Telephone | 3104452800 |
| Mailing Fax Number | 3104452816 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | HOWARD G. BERGER (CEO & PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| 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 |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ16668Z | 01 |
| CA | GR0052840 | 05 |
| Street Address |
8540 S SEPULVEDA BLVD SUITE 111 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992738 | Ifeoma Stella Izuchukwu | Internal Medicine | 8540 S Sepulveda Blvd, Ste 116, Los Angeles, CA 90045-3819 | 2005-06-16 |
| 1770034159 | Danielle Alyse Brown | Dentist | 8540 S Sepulveda Blvd, 1102, Los Angeles, CA 90045-3807 | 2016-10-20 |
| 1346608676 | George B. Shinn Dds P.c | Dentist | 8540 S Sepulveda Blvd, #1200, Los Angeles, CA 90045-3807 | 2016-02-01 |
| 1770955809 | Benjamin Rosenberg, Dds Apc | Clinic/Center | 8540 S Sepulveda Blvd, Ste 1000, Los Angeles, CA 90045-3807 | 2015-10-28 |
| 1508245192 | Theodore Burnett, Dds, Inc | Dentist | 8540 S Sepulveda Blvd, Suite 918, Los Angeles, CA 90045-3807 | 2015-05-28 |
| 1902204621 | Richard Barry Feinstein | Dentist | 8540 S Sepulveda Blvd, Suite 1210, Los Angeles, CA 90045-3807 | 2014-12-11 |
| 1750787800 | Omid Vatan Dental Corp | Dentist | 8540 S Sepulveda Blvd, 108, Los Angeles, CA 90045-3807 | 2014-11-17 |
| 1265834121 | Sony Naing | Nurse Practitioner | 8540 S Sepulveda Blvd, Suite 818-a, Los Angeles, CA 90045-3807 | 2014-09-23 |
| 1790199370 | Andrew Leitner Md Inc | Anesthesiology | 8540 S Sepulveda Blvd, Suite 910, Los Angeles, CA 90045-3807 | 2014-06-11 |
| 1164859666 | Optimal Physical Therapy Inc | Physical Therapist | 8540 S Sepulveda Blvd, Ste 916, Los Angeles, CA 90045-3807 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| 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 | 90045 |
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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.