VERDUGO RADIOLOGY MEDICAL GROUP, INC.


Address: 1812 Verdugo Blvd, Glendale, CA 91208-1407
Phone: 8187907100

VERDUGO RADIOLOGY MEDICAL GROUP, INC. (NPI# 1710053012) 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) 1710053012
Entity Type Organization
Organization Name VERDUGO RADIOLOGY MEDICAL GROUP, INC.
Practice Address 1812 Verdugo Blvd
Glendale
CA 91208-1407
Mailing Address P.o. Box 1036
Montrose
CA 91021-1036
Practice Telephone 8187907100
Mailing Telephone 8182489843
Mailing Fax Number 8182489884
Enumeration Date 2006-11-28
Last Update Date 2017-03-22
Authorized Official Name MR. CRAIG E MORITZ (PRESIDENT)
Authorized Official Telephone 8182489843
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians
N 2085R0203X Radiology
Specialization: Therapeutic Radiology
Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
N 2085R0205X Radiology
Specialization: Radiological Physics
Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA YYY49281Y 05

Office Location

Street Address 1812 VERDUGO BLVD
City GLENDALE
State CA
Zip Code 91208-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508850421 Chandnish K Ahluwalia Pathology 1812 Verdugo Blvd, Glendale, CA 91208-1407 2005-09-07
1033716147 Usc Verdugo Hills Hospital General Acute Care Hospital 1812 Verdugo Blvd, Glendale, CA 91208-1407 2020-10-02
1487251401 Usc Verdugo Hills Hospital Psychiatric Unit 1812 Verdugo Blvd, Glendale, CA 91208-1407 2020-10-02
1568069581 Usc Verdugo Hills Hospital Skilled Nursing Facility 1812 Verdugo Blvd, Glendale, CA 91208-1407 2020-10-02
1174145452 Stephanie Nguyen-vuong Pharmacist 1812 Verdugo Blvd, Glendale, CA 91208-1407 2020-05-10
1710513619 John Garriss Registered Nurse 1812 Verdugo Blvd, Glendale, CA 91208-1407 2020-03-23
1306489091 Melissa Lou Mitchell Registered Nurse 1812 Verdugo Blvd, Glendale, CA 91208-1407 2019-10-24
1588213805 Rebecca Oh Dietitian, Registered 1812 Verdugo Blvd, Glendale, CA 91208-1407 2019-09-09
1073160081 Racquelle Ranan Tugade Thieling Nurse Practitioner 1812 Verdugo Blvd, Glendale, CA 91208-1407 2019-08-23
1235781741 King-yu Tzu Registered Nurse 1812 Verdugo Blvd, Glendale, CA 91208-1407 2019-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346847431 Anil Buyruk Registered Nurse 1812 Verdugo Blvd Usc Verdugo Hills Hospital, Glendale, CA 91208 2020-10-02
1568003366 Regal Hospice and Palliative Care Inc Hospice Care, Community Based 3430 Ocean Blvd Unit B, Glendale, CA 91208 2019-10-02
1447675202 Lana Danica Shajanian Marriage & Family Therapist 3460 Ocean View Blvd Ste E, Glendale, CA 91208 2014-03-03
1427495811 Van Nuys Hospice Care, Inc Hospice Care, Community Based 1555 North Verdugo Rd., Suite 202, Glendale, CA 91208 2013-05-27
1851636740 Sabrina Somani Marriage & Family Therapist 1809 Verdugo Blvd Ste 260, Glendale, CA 91208 2012-12-03
1144462094 Marisela Ramirez Case Manager/Care Coordinator 5005 Texas St. Ste 203, San Diego, CA 91208 2009-03-24
1164647103 Robert Young Yum Anesthesiology 1922 Caminito Del Pilar, Glendale, CA 91208 2007-04-16
1447372321 Joseph Aslanyan Dds and Jaqueline Chibarian Dds A Professional Dental Dentist 3600 Ocean View, #6, Glendale, CA 91208 2007-04-04
1902959240 Amalia A Armenta Internal Medicine 3600 N Verdugo Rd, Ste 301, Glendale, CA 91208 2007-01-19
1235207572 Donna D Alderman General Practice 1740 Broadview Drive, Glendale, CA 91208 2006-12-04
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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
1952902116 Vesta Telemedicine Solutions, Pllc Radiology 833 Americana Way Unit 251, Glendale, CA 91210-1538 2020-11-04
1780154153 Bay Imaging Consultants Medical Group Radiology 435 W Los Feliz Rd Unit 462, Glendale, CA 91204-3569 2018-11-28
1851893317 Main Street Radiology At Bayside LLC Radiology 8314 Cooper Ave, Glendale, NY 11385-7722 2018-03-01
1609284660 Armen Aivazi Radiology 3335 Deer Creek Ln, Glendale, CA 91208-1166 2014-07-23
1043543275 Smi Imaging, LLC Radiology 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 2009-09-04
1558594747 Smi Imaging, LLC Radiology 5410 W Thunderbird Rd Ste 100, Glendale, AZ 85306-4711 2009-09-03
1336387059 Saadet Atay-rosenthal Radiology 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 2009-02-03
1912166968 Jeanne C Lammering Radiology 1144 Cordova Ave, Glendale, CA 91207-1751 2008-06-05
1740403104 Glendale Diagnostic Imaging Network Medical Office, Inc Radiology 403 S Glendale Ave, Glendale, CA 91205-2222 2007-04-11
1689750382 James Chouming Wu Radiology 1420 South Central Avenue, Glendale, CA 91204 2006-10-27
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Competitor

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City GLENDALE
Zip Code 91208

Improve Information

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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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