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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G19870 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | W4653 | 01 |
Other Name | Type Code |
---|---|
Anaheim Advanced Imaging | 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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Beverly Radiology Medical Group | 1510 Cotner Ave, Los Angeles, CA 90025 |
Street Address |
710 N EUCLID ST SUITE 102 |
City | ANAHEIM |
State | CA |
Zip Code | 92801-4115 |
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 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on BEVERLY RADIOLOGY MEDICAL GROUP.
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.