BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR (NPI# 1396932943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396932943 |
| Entity Type | Organization |
| Organization Name | BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR |
| Practice Address |
80 S Palm Ave Alhambra CA 91801-3101 |
| Mailing Address |
200 E Beverly Blvd Suite 200 Montebello CA 90640-7001 |
| Practice Telephone | 6265716729 |
| Practice Fax Number | 6265711170 |
| Mailing Telephone | 3235179800 |
| Mailing Fax Number | 3237277574 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | RUTH LOPEZ NOVODOR (CEO) |
| Authorized Official Telephone | 3235179800 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY ONCOLOGY & IMAGING CENTER MEDICAL GR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740350354 | Beverly Oncology & Imaging Center Medical Gr | Radiology | 120 W Beverly Blvd, Montebello, CA 90640-4305 | 2006-11-09 |
| 1679760227 | Beverly Oncology & Imaging Center Medical Gr | Radiology | 12555 Garden Grove Blvd, Suite 101, Garden Grove, CA 92843-1902 | 2007-09-27 |
| Street Address |
80 S PALM AVE |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91801-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205047 | Fariborz Rodef Dental Corporation | Dentist | 233 South Fremont Ave, Alhambra, CA 91801 | 2020-04-28 |
| 1336650407 | Natalia Ayelen Park | Counselor | 423 S Monterey St, Alhambra, CA 91801 | 2017-10-17 |
| 1427577253 | Thomas John Andre | Physical Therapist | 927 N Bushnell Ave, Alhambra, CA 91801 | 2017-09-13 |
| 1902323173 | Aba Effects, LLC | Behavioral Analyst | 41 N Garfield Ave Ste 207, Alhambra, CA 91801 | 2017-08-28 |
| 1083134548 | Yulan Wang | Acupuncturist | 20 Hampton Ct., Alhambra, CA 91801 | 2017-06-26 |
| 1285175877 | Lac Usc Medical Center | General Acute Care Hospital | 504 N 2nd St, Apt B, Alhambra, CA 91801 | 2017-03-15 |
| 1679015432 | Eric Wong Chiropractic, PC | Acupuncturist | 723 S. Garfield Ave, Suite 202, Alhambra, CA 91801 | 2016-11-10 |
| 1255794012 | Andrew C Lo | Physical Therapist | 89 E Commonwealth Ave, Unit 1e, Alhambra, CA 91801 | 2016-03-30 |
| 1902291610 | Wai-mei Wong | Dietitian, Registered | 100 S. Raymond Avenue, Alhambra, CA 91801 | 2015-03-30 |
| 1316337884 | Thera Med Rehabilitation Inc. | Case Management | 600 W Main St, #107, Alhambra, CA 91801 | 2015-02-04 |
| Find all providers in zip 91801 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770697492 | Ana Maria Grace | Radiology | 707 S. Garfield Ave Suite B002, Alhambra, CA 91801 | 2006-08-19 |
| 1013270065 | Janice Rha, Md PC | Radiology | 707 S Garfield Ave, Suite B002, Alhambra, CA 91801-5859 | 2012-06-22 |
| 1669651618 | Albert C Mak Md Inc | Radiology | 707 S Garfield Ave, Bsmt, Alhambra, CA 91801-5859 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
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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.