DR. MICHAEL MARVIN EDELSTEIN (NPI# 1275622094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275622094 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MARVIN EDELSTEIN |
| Credential | M.D. |
| Practice Address |
3460 Ridgeford Dr Westlake Village CA 91361-4818 |
| Practice Telephone | 8187079778 |
| Practice Fax Number | 8188743655 |
| Mailing Telephone | 8187079778 |
| Mailing Fax Number | 8188743655 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G009107 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000G91070 | 05 | |
| CA | BLUE SHIELD | 000G91070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063725950 | Michael E Edelstein | Counselor | 464 Walnut Street, Pittsburgh, PA 15238 | 2010-07-20 |
| 1376546853 | Michael Charles Edelstein | Podiatrist | 3224 Grand Concourse, Suite #ba, Bronx, NY 10458 | 2005-05-27 |
| 1356814420 | Michael Edelstein | Social Worker | 156 Beach 9th St, Far Rockaway, NY 11691-5636 | 2019-01-10 |
| 1205935202 | Michael C Edelstein | Specialist | 9030 Stony Point Pkwy Ste 450, Richmond, VA 23235 | 2006-09-22 |
| 1043296213 | Michael K Edelstein | Optometrist | 446 Moody St, Waltham, MA 02453-0415 | 2005-12-20 |
| Street Address |
3460 RIDGEFORD DR |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053788968 | Solano Diagnostics Partners, Lp | Radiology | 3460 Ridgeford Dr, Westlake Village, CA 91361-4818 | 2015-08-26 |
| 1346617339 | Quantum Medical Radiology of California, PC | Radiology | 3460 Ridgeford Dr, Westlake Village, CA 91361-4818 | 2015-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| 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 |
|---|---|---|---|---|
| 1952355133 | Ranon C Udkoff | Radiology | 1265 Canyon Rim Cir, Westlake Village, CA 91362-5228 | 2006-05-20 |
| 1053788968 | Solano Diagnostics Partners, Lp | Radiology | 3460 Ridgeford Dr, Westlake Village, CA 91361-4818 | 2015-08-26 |
| 1346617339 | Quantum Medical Radiology of California, PC | Radiology | 3460 Ridgeford Dr, Westlake Village, CA 91361-4818 | 2015-08-26 |
| 1306085949 | Udkoff Medical Imaging Corporation | Radiology | 1265 Canyon Rim Cir, Westlake Village, CA 91362-5228 | 2009-02-04 |
| 1720022577 | Ashok Kumar Kacker | Radiology | 1220 La Venta Dr, Westlake Village, CA 91361-3703 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on DR. MICHAEL MARVIN EDELSTEIN.
| 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.