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).
| 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 |
| 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 | GR0043630 | 05 | |
| CA | BLUE SHIELD | ZZZ21410Z | 01 |
| Other Name | Type Code |
|---|---|
| AV MRI MEDICAL CLINIC | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Beverly Radiology Medical Group | 1510 Cotner Ave, Los Angeles, CA 90025 |
| Street Address |
43713 20TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4628 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.