BEVERLY RADIOLOGY MEDICAL GROUP (NPI# 1144274713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144274713 |
| Entity Type | Organization |
| Organization Name | BEVERLY RADIOLOGY MEDICAL GROUP |
| Practice Address |
465 N Roxbury Dr Beverly Hills CA 90210-4230 |
| Mailing Address |
Po Box 240086 Los Angeles CA 90024-9186 |
| Practice Telephone | 3109751500 |
| Practice Fax Number | 3109751517 |
| Mailing Telephone | 3104452800 |
| Mailing Fax Number | 3104452816 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HOWARD G BERGER (PRESIDENT) |
| Authorized Official Telephone | 3104452800 |
| Authorized Official Credential | MD |
| 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 | BLUE SHIELD | ZZZ07797Z | 01 |
| CA | GR0092134 | 05 |
| 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 |
465 N ROXBURY DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737070 | Roxsan Pharmacy, Inc | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2005-08-11 |
| 1427582246 | Oasis Anesthesia LLC | Nurse Anesthetist, Certified Registered | 465 N Roxbury Dr, Suite 1001, Beverly Hills, CA 90210-4206 | 2017-04-18 |
| 1881146298 | Bhc Surgical Group, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 750, Beverly Hills, CA 90210-4206 | 2016-11-02 |
| 1265882161 | William J Rahal Md PC | General Acute Care Hospital | 465 N Roxbury Dr, Penthouse Suite, Beverly Hills, CA 90210-4206 | 2016-06-21 |
| 1770939951 | Randal Haworth | Surgery | 465 N Roxbury Dr, Suite 901, Beverly Hills, CA 90210-4206 | 2016-05-06 |
| 1053788786 | Roxsan Pharmacy, Inc. | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2015-08-28 |
| 1750763736 | Gabriel Gabbaypour,dds, Md, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 815, Beverly Hills, CA 90210-4206 | 2015-06-25 |
| 1730583808 | 90210 Surgical Associates LLC | Clinic/Center | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-10-17 |
| 1508286717 | Josef Hadeed, Md, Inc | Plastic Surgery | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-04-27 |
| 1801224944 | Daniela Pavlin Dds Inc. | Dentist | 465 N Roxbury Dr, Suite 811, Beverly Hills, CA 90210-4206 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| 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 |
|---|---|---|---|---|
| 1265837710 | Quantum Medical Radiology of California, PC | Radiology | 1916 San Ysidro Dr, Beverly Hills, CA 90210-1521 | 2014-10-27 |
| 1316362239 | Solano Diagnostics Imaging Medical Group | Radiology | 317 N Palm Dr, # 4c, Beverly Hills, CA 90210-4184 | 2014-02-28 |
| 1609040252 | Medical Imaging Partners, Inc | Radiology | 606 N Whittier Dr, Beverly Hills, CA 90210-3113 | 2008-04-15 |
| 1457547663 | M.r.diagnostic Imaging, Inc | Radiology | 116 N Swall Dr Apt 202, Beverly Hills, CA 90211-1926 | 2007-09-20 |
| 1558572867 | Britt James Sommerville | Radiology | 8900 Wilshire Blvd., Beverly Hills, CA 90211 | 2007-05-25 |
| 1942344338 | Graham Warden | Radiology | 16937 Beverly Rd, Beverly Hills, MI 48025-5537 | 2007-02-18 |
| 1396787610 | Access Medical Imaging Inc | Radiology | 155 N San Vicente Blvd, Beverly Hills, CA 90211-2303 | 2006-06-12 |
| 1821036526 | Nahid Nazarian | Radiology | 1340 Carla Ln, Beverly Hills, CA 90210-2509 | 2006-06-03 |
| 1538106752 | Beverly Radiology Medical Group | Radiology | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2006-05-31 |
| 1790733533 | Marshall Bein | Radiology | 8670 Wilshire Blvd Ste 101, Beverly Hills, CA 90211-2930 | 2006-05-04 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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.