Alexis D Wong (NPI# 1972544468, PAC ID# 0446263578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1972544468 |
| PAC ID by PECOS | 0446263578 |
| Professional Enrollment ID | I20060713000130 |
| Full Name | Alexis D Wong |
| Organization Legal Name | MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA |
| Address |
2827 Wilshire Blvd Santa Monica CA 90403-4801 |
| Phone Number | 3108299788 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961306469 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | 3108299788 | MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA |
| 8727 Beverly Blvd, West Hollywood, CA 90048-1803 | 4243821051 | MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA-BEVERLY HILLS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley A Jabour | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Edwin C Glass | Nuclear Medicine | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Omid Jafari | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Geeta V Iyengar | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Robert Cohen | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Street Address |
2827 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric D Bowles | Certified Registered Nurse Anesthetist (crna) | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | |
| Greg Wright | Certified Registered Nurse Anesthetist (crna) | Foothill Anesthesia, Inc | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Bradley A Jabour | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Edwin C Glass | Nuclear Medicine | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Omid Jafari | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Geeta V Iyengar | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Robert Cohen | Diagnostic Radiology | Medical Imaging Center of Southern California | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Curtis Dickey | Optometry | 901 Montana Ave, Santa Monica, CA 90403-1537 | |
| Phillip Herel | Physical Therapy | 1301 Montana Ave, Suite A, Santa Monica, CA 90403-1767 | |
| Patrick D Edgecomb | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SANTA MONICA + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.