CALIFORNIA HOSPITAL RADIOLOGY MEDICAL GROUP PC (NPI# 1609872662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872662 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA HOSPITAL RADIOLOGY MEDICAL GROUP PC |
| Practice Address |
1401 S Grand Ave Los Angeles CA 90015-3010 |
| Mailing Address |
540 S Marengo Ave Pasadena CA 91101-3130 |
| Practice Telephone | 2137425840 |
| Mailing Telephone | 6263974910 |
| Mailing Fax Number | 6263974911 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | DR. SIDNEY G FRIEDMAN (DIRECTOR) |
| Authorized Official Telephone | 6263974910 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091860 | 05 | |
| CA | BLUE SHIELD GROUP NUMBER | ZZZ05188Z | 01 |
| CA | UNIVERSALCARE GROUP # | CAHO10 | 01 |
| Street Address |
1401 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364804 | Katherine Ruiz Rossi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-10-19 |
| 1548883911 | Giovani Valentin Cruz Cruz | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-20 |
| 1134742604 | Layla Nina Farrahi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1649893108 | Juliana Jones | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1578186037 | Elizabeth Lisa Lee | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1104455625 | Nyree Minatsaghanian | Registered Nurse | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-04-06 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1215572110 | Brittany Richardson | Social Worker | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1356985311 | Ran Chu | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-03 |
| 1548811193 | Rochelle Katherine Weerackoon | Physician Assistant | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on CALIFORNIA HOSPITAL RADIOLOGY MEDICAL GROUP PC.
| 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.