RADIOLOGY MEDICAL GROUP OF WMMC (NPI# 1831123868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831123868 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY MEDICAL GROUP OF WMMC |
| Practice Address |
1720 E Cesar E Chavez Ave Los Angeles CA 90033-2414 |
| Practice Telephone | 6267951610 |
| Practice Fax Number | 6267950751 |
| Mailing Telephone | 6267951610 |
| Mailing Fax Number | 6267950751 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | MR. ANTOINE G NAHAS (BUSINESS MANAGER) |
| Authorized Official Telephone | 6267951610 |
| Is Organization Subpart | N |
| 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 | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1720 E CESAR E CHAVEZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865023 | Michael Hernandez | Psychiatry & Neurology | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-07-18 |
| 1003423070 | Ah Yeon Chang | Registered Nurse | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-24 |
| 1447866173 | Diana Escobar | Nurse Practitioner | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-18 |
| 1023636487 | Chi Le Hau | Pharmacist | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-07-10 |
| 1073130951 | Evelyn Escobedo Pol | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-26 |
| 1154947240 | Natalie Laurence Shammas | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-24 |
| 1457977696 | Anna Catherine Yates | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-23 |
| 1497371769 | Asal Honei Homayouni | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-22 |
| 1366068215 | Katie Lynn Young | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| 1174149058 | Jessica Siu-ying Ehly-yu | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| 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 |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| 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.