William A Deruso
BEVERLY RADIOLOGY MEDICAL GROUP III


Address: 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Phone: 3106893100

William A Deruso (NPI# 1316127145, PAC ID# 0648458166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1316127145
PAC ID by PECOS 0648458166
Professional Enrollment ID I20120710000375
Full Name William A Deruso
Organization Legal Name BEVERLY RADIOLOGY MEDICAL GROUP III
Address 8750 Wilshire Blvd
Suite 100
Beverly Hills
CA 90211-2708
Phone Number 3106893100
Gender M
Medical School UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 3476466376
Number of Group Practice Members 233
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050616 ST JOHNS PLEASANT VALLEY HOSPITAL
050082 ST JOHNS REGIONAL MEDICAL CENTER
050394 COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA
051334 OJAI VALLEY COMMUNITY HOSPITAL
051331 SANTA YNEZ VALLEY COTTAGE HOSPITAL

Other Locations

Address Phone Organization
8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708 3106893100 BEVERLY RADIOLOGY MEDICAL GROUP III
2309 Antonio Ave, Camarillo, CA 93010-1414 8053895655 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
3801 Las Posas Rd, Suite 111, Camarillo, CA 93010-1477 8053899657 BEVERLY RADIOLOGY MEDICAL GROUP III
1306 Maricopa Hwy, Ojai, CA 93023-3131 8056461401 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
1600 N Rose Ave, Oxnard, CA 93030-3722 8059882872 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
1700 N Rose Ave, Suite 110, Oxnard, CA 93030-7630 5852188007 BEVERLY RADIOLOGY MEDICAL GROUP III
1901 N Rice Ave, Oxnard, CA 93030-7912 8059834838 BEVERLY RADIOLOGY MEDICAL GROUP III
2001 N Solar Dr, 135 Grossman Imaging Center, Oxnard, CA 93036-0635 8059880616 I. GROSSMAN M.D., INC.
2151 E Gonzales Rd, 101 Grossman Imaging Center, Oxnard, CA 93036-3712 8059880616 I. GROSSMAN M.D., INC.
351 S Patterson, Santa Barbara, CA 93111-2403 8056816406 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
1687 Erringer Rd, 210 Simi Valley Adv Med, Simi Valley, CA 93065-6510 8055274674 BEVERLY RADIOLOGY MEDICAL GROUP III
3655 Alamo St, Suite 101, Simi Valley, CA 93063-2187 8055200222 BEVERLY RADIOLOGY MEDICAL GROUP III
300 Lombard St, Thousand Oaks, CA 91360-5808 8054951220 BEVERLY RADIOLOGY MEDICAL GROUP III
147 N Brent St, Ventura, CA 93003-2809 8056525011 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
168 N Brent St, Suite 401, Ventura, CA 93003-2824 8056525093 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 8059880616 I. GROSSMAN M.D., INC.
4516 Market St, Suite Ia, Ventura, CA 93003-8087 8056447300 BEVERLY RADIOLOGY MEDICAL GROUP III

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 91%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 91%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 91%

Organization Information

Organization Legal Name BEVERLY RADIOLOGY MEDICAL GROUP III
Physicians 117

Physicians with the same organization

Name Specialty Organization Address
Deeshali Shah Diagnostic Radiology Beverly Radiology Medical Group IIi 10101 Riverside Dr, Toluca Lake, CA 91602-2517
Joseph P Liu Diagnostic Radiology Beverly Radiology Medical Group IIi 2679 Zoe Ave, Huntington Park, CA 90255-4144
Mitchell A Berner Diagnostic Radiology Beverly Radiology Medical Group IIi 8805 Haven Ave, Suite 120, Rancho Cucamonga, CA 91730-5149
Vinh N Nguyen Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Arnold Friedman Diagnostic Radiology Beverly Radiology Medical Group IIi 231 W Fir Ave, Clovis, CA 93611-0220
Shobi Zaidi Diagnostic Radiology Beverly Radiology Medical Group IIi 510 N Prospect, Ave 101, Redondo Beach, CA 90277-3030
Steven P Posner Vascular Surgery Beverly Radiology Medical Group IIi 710 N Euclid St, 102 Anaheim Adv Imag, Anaheim, CA 92801-4122
Curtis S Hammerman Diagnostic Radiology Beverly Radiology Medical Group IIi 1261 Vandeer Dr, Hewlett, NY 11557-2512
John S Tsakonas Cardiovascular Disease (cardiology) Beverly Radiology Medical Group IIi 16130 Ventura Blvd, Encino, CA 91436-2503
Mark Ivan Williams Diagnostic Radiology Beverly Radiology Medical Group IIi 3320 N Los Coyotes Diagonal, Suite 112260, Long Beach, CA 90808-3918

Office Location

Street Address 8750 WILSHIRE BLVD
SUITE 100
City BEVERLY HILLS
State CA
Zip 90211-2708

Physicians in the same location

Name Specialty Organization Address
Vinh N Nguyen Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Steven R Henderson Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
R Swamy Venuturupalli Rheumatology R.s. Venuturupalli, M.d. Inc 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700
Daphne Scaramangas-plumley Rheumatology R.s. Venuturupalli, M.d. Inc 8750 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-2700
Sean M Freyne Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Charles F Brown Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Jeffrey W Rappleye Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Wilson S Wong Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Josephine Lee Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
Jason C Kantor Diagnostic Radiology Beverly Radiology Medical Group IIi 8750 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2708
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Physicians in the same zip code

Name Specialty Organization Address
Carl Millner Internal Medicine Aids Healthcare Foundation 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211
Lindsey N Zamarripa Nurse Practitioner Aids Healthcare Foundation 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211
David Irwin Lintz Infectious Disease Aids Healthcare Foundation 99 N La Cienega Blvfd, Beverly Hills, CA 90211
Martha Roman Nurse Practitioner Aids Healthcare Foundation 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211
Richard P Nigro Anesthesiology Brotman Medical Anesthesia Group 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001
Michael Ryan Kelly Anesthesiology Brotman Medical Anesthesia Group 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001
Martin Lawrence Gordon Anesthesiology 9090 Burton Way, Beverly Hills, CA 90211-1661
Vanessa M Spooner Clinical Psychologist 329 N Wetherly Dr, Beverly Hills, CA 90211-1675
Robert O Ruder Otolaryngology 8816 Burton Way, First Floor, Beverly Hills, CA 90211-1715
Jeffrey S Jumaily Otolaryngology 8816 Burton Way, Suite 1, Beverly Hills, CA 90211-1715
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Competitor

Search similar physicians

City BEVERLY HILLS
Zip Code 90211
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty BEVERLY HILLS + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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