BEVERLY RADIOLOGY MEDICAL GROUP


Address: 710 N Euclid St, Suite 102, Anaheim, CA 92801-4115
Phone: 7145172099

BEVERLY RADIOLOGY MEDICAL GROUP (NPI# 1972826774) 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) 1972826774
Entity Type Organization
Organization Name BEVERLY RADIOLOGY MEDICAL GROUP
Other Organization Name ANAHEIM ADVANCED IMAGING
Practice Address 710 N Euclid St
Suite 102
Anaheim
CA 92801-4115
Practice Telephone 7145172099
Mailing Telephone 7145172099
Enumeration Date 2010-03-08
Last Update Date 2010-03-08
Authorized Official Name DR. HOWARD G. BERGER (CEO & PRESIDENT)
Authorized Official Telephone 3104452800
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
G19870 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN W4653 01

Other Provider/Organization Names

Other Name Type Code
Anaheim Advanced Imaging 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
1306884648 Beverly Radiology Medical Group Radiology 43713 20th St W, Lancaster, CA 93534-4628 2006-06-02
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

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 710 N EUCLID ST
SUITE 102
City ANAHEIM
State CA
Zip Code 92801-4115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932100120 Alireza Mirzabozorg Family Medicine 710 N Euclid St, Suite 214, Anaheim, CA 92801-4122 2005-08-10
1669018826 Mla Health Services Inc Nurse Practitioner 710 N Euclid St, Anaheim, CA 92801-4122 2019-11-22
1881239341 Reliacare Inc Nurse Practitioner 710 N Euclid St, Anaheim, CA 92801-4122 2019-11-08
1497197974 Vincent Wong Family Medicine 710 N Euclid St, Suite 101, Anaheim, CA 92801-4122 2013-07-24
1417208141 New Genesis Medical Associates, Inc. Family Medicine 710 N Euclid St, # 214, Anaheim, CA 92801-4122 2012-09-20
1245534056 Jennifer Marie Herrera Physician Assistant 710 N Euclid St, Ste 400, Anaheim, CA 92801-4122 2011-01-07
1851692503 Aum Pharmaceuticals Inc. Pharmacy 710 N Euclid St, Unit 103, Anaheim, CA 92801-4115 2010-11-11
1992028476 Breanna Elyse Caro Physician Assistant 710 N Euclid St, Suite 101, Anaheim, CA 92801-4115 2010-03-11
1992945430 Walter Clyde Harris Physician Assistant 710 N Euclid St, Suite 201, Anaheim, CA 92801-4115 2009-02-24
1487820577 Navid Geula Family Medicine 710 N Euclid St, Suite 101, Anaheim, CA 92801-4115 2008-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376178996 Megalink Staffing Services Corp. Non-emergency Medical Transport (VAN) 780 N. Euclid St., Suite 207, Anaheim, CA 92801 2020-03-04
1669988630 Munoz Urgent Care Inc. Clinic/Center 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 2017-12-28
1922523257 Enrique Esparza Jr. Peer Specialist 501 North Brookhurst Street, Anahiem, CA 92801 2017-08-08
1336689405 Lan P. Tran Pharmacist 2308 W Huntington Ave, Anaheim, CA 92801 2017-03-08
1982065447 Giselle Magdaleno Marriage & Family Therapist 505 N Euclid St #300, Anaheim, CA 92801 2016-03-11
1346605433 Esther Chong Nurse Practitioner 710 N. Euclid St., 400, Anaheim, CA 92801 2015-12-16
1629441183 Caremore Health Plan Nurse Practitioner 1182 N. Euclid Street, Anaheim, CA 92801 2015-11-05
1205208451 Uyen Diem Ngo Pharmacist 1188 N. Euclid St., Anaheim, CA 92801 2015-10-28
1962873729 Herb and Acu Acupuncturist 1737 W. Romneya Dr., Anaheim, CA 92801 2015-10-19
1437535721 Yessenia Alvarado Marriage & Family Therapist 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 2015-08-10
Find all providers in zip 92801

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
1497296156 Mars Healthcare Inc Radiology 1924 N Canyon Cir, Anaheim, CA 92807-1208 2017-03-14
1689983926 Anaheim Hills Medical Imaging LLC Radiology 781 S Weir Canyon Rd, Suite 185, Anaheim, CA 92808-1965 2010-10-05
1275762379 Vadim Chudnovsky M D Inc Radiology 1743 S Claudina Way, Anaheim, CA 92805-6544 2009-07-09
1871757005 Kamron Izadi Radiology 8518 E Durango Way, Anaheim, CA 92808-2356 2008-07-16
1336223262 Darice Liu Radiology 5528 E La Palma Ave Ste 4a, Anaheim, CA 92807-2115 2006-10-25
1205813953 Crispina H. Chong-han Radiology 441 N. Lakeview Avenue, Kaiser Permanente, Anaheim, CA 92807 2005-12-23
1396727863 Russell Brian Keating Radiology 5528 E La Palma Ave, Suite 4-a, Anaheim, CA 92807-2115 2005-11-18
1053668608 Tan Ba Nguyen Radiology 5528 E La Palma Ave Ste 4a, Anaheim, CA 92807-2115 2012-08-13
1851589519 Vadim Chudnovsky, M.d., Inc. Radiology 1440 S State College Blvd, Suite 3-m, Anaheim, CA 92806-5724 2007-10-09
1629261375 Reyna R Chavez Radiology 1440 S State College Blvd, Suite 3-k, Anaheim, CA 92806-5724 2007-08-24
Find all providers in ANAHEIM

Competitor

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City ANAHEIM
Zip Code 92801

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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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