BROADWAY RADIOLOGY, INC. (NPI# 1851682595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851682595 |
| Entity Type | Organization |
| Organization Name | BROADWAY RADIOLOGY, INC. |
| Practice Address |
231 W Vernon Ave Ste 111 Los Angeles CA 90037-2778 |
| Practice Telephone | 3232315044 |
| Practice Fax Number | 3232315362 |
| Mailing Telephone | 3232315044 |
| Mailing Fax Number | 3232315362 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | MR. ALVARO CERDA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3232315044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
231 W VERNON AVE STE 111 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1477816700 | George C Lee Jr. | Clinic/Center | 1200 North State, Ct-2b 300 Lac-usc, Los Angeles, CA 90033-9985 | 2012-06-21 |
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| 1184750630 | Ardmore Imaging Inc | Clinic/Center | 3663 W 6th St Ste 105, Los Angeles, CA 90020-3047 | 2007-02-26 |
| 1205927399 | Functional Restoration Medical Center, Inc | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2006-09-27 |
| 1295841377 | Shin Mri LLC | Clinic/Center | 266 S Harvard Blvd Ste 220, Los Angeles, CA 90004-4339 | 2006-08-22 |
| 1578590584 | East Sunset Imaging Inc | Clinic/Center | 4327 W Sunset Blvd, Los Angeles, CA 90029-2111 | 2006-06-26 |
| 1700486081 | Pacific Mri A Nursing Corporation | Clinic/Center | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2020-10-27 |
| 1811342439 | California Medical Imaging Corp. | Clinic/Center | 5757 Wilshire Blvd Ste 100, Los Angeles, CA 90036-3686 | 2016-05-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
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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.