BEVERLY RADIOLOGY MEDICAL GROUP


Address: 43713 20th St W, Lancaster, CA 93534-4628
Phone: 6619498280

BEVERLY RADIOLOGY MEDICAL GROUP (NPI# 1306884648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306884648
Entity Type Organization
Organization Name BEVERLY RADIOLOGY MEDICAL GROUP
Other Organization Name AV MRI MEDICAL CLINIC
Practice Address 43713 20th St W
Lancaster
CA 93534-4628
Mailing Address Po Box 240086
Los Angeles
CA 90024-9186
Practice Telephone 6619498280
Practice Fax Number 6619421519
Mailing Telephone 3104452800
Mailing Fax Number 3104452816
Enumeration Date 2006-06-02
Last Update Date 2020-08-22
Authorized Official Name DR. HOWARD G. BERGER (PRESIDENT)
Authorized Official Telephone 6619498280
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0043630 05
CA BLUE SHIELD ZZZ21410Z 01

Other Provider/Organization Names

Other Name Type Code
AV MRI MEDICAL CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1184981409 Beverly Radiology Medical Group Radiology 15651 Imperial Hwy, Suite 103, La Mirada, CA 90638-1628 2012-04-12

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Beverly Radiology Medical Group 1510 Cotner Ave, Los Angeles, CA 90025

Office Location

Street Address 43713 20TH ST W
City LANCASTER
State CA
Zip Code 93534-4628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043606528 Access Imaging, LLC Clinic/Center 43713 20th St W, 1, Lancaster, CA 93534-4628 2015-04-10
1851708465 Therapeutic Time Inc. Psychologist 43713 20th St W, Suite 5, Lancaster, CA 93534-4628 2014-07-15
1386843886 Ralph B Waugh Dds Md Inc Surgery 43713 20th St W, #1, Lancaster, CA 93534 2007-07-13
1689793457 Carol Ann Chambers Counselor 43713 20th St W, Suite 5, Lancaster, CA 93534-4628 2007-03-29
1508997909 Trisha Lee Rich-thurm Psychologist 43713 20th St W, Suite E, Lancaster, CA 93534-4628 2007-03-08
1174618672 Vijay Mandyam Podiatrist 43713 20th St W, Ste 3, Lancaster, CA 93534-4628 2006-10-03
1619074424 Dr Patrick M Paige Dds Inc Dentist 43713 20th St W, #5, Lancaster, CA 93534-4628 2006-09-20
1306942388 Robert L Howard Counselor 43713 20th St W, Ste 5, Lancaster, CA 93534-4628 2006-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
Find all providers in zip 93534

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083213151 Antelope Valley Outpatient Imaging Center, LLC Radiology 44105 15th St W Ste 100, Lancaster, CA 93534-4090 2020-10-20
1437548484 Los Robles Radiologic Associates Radiology 44928 Shad St, Lancaster, CA 93536-8533 2015-01-14
1356762074 Edwin Robert Payne Radiology 465 Overlook Dr Ne, Lancaster, OH 43130-1918 2013-12-23
1689977308 John William Gareis Radiology 2101 Millersville Pike, Lancaster, PA 17603-6216 2010-12-20
1124104237 Harmadeep K Gill Medical Corporation Radiology 43807 10th Street West, Suite C, Lancaster, CA 93534-4805 2006-10-31
1710931381 Beverly Radiology Medical Group Radiology 44305 Lorimer Ave, Lancaster, CA 93534-3700 2006-05-19
1851355473 Ray H Hashemi Radiology 43731 N 15 St West, Lancaster, CA 93534 2006-04-12
1679542179 Harry Zibners Radiology 1241 River Valley Blvd, Lancaster, OH 43130-1653 2006-03-16
1164408993 Mohammad Reza Kazemaini Mofrad Radiology 43112 15th St W, Lancaster, CA 93534-6219 2005-12-22
1316940349 Cindy Janesky Radiology 555 N Duke St, Lancaster, PA 17602-2250 2005-05-23
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 93534

Improve Information

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Dataset Information

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.

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