Jose S Tandoc (NPI# 1366413387, PAC ID# 0840221446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366413387 |
| PAC ID by PECOS | 0840221446 |
| Professional Enrollment ID | I20050823001128 |
| Full Name | Jose S Tandoc |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Address |
3715 E S St Lakewood Open Mri Long Beach CA 90805 |
| Phone Number | 5626020700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3476466376 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| 050132 | SAN GABRIEL VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 612 W Duarte Rd, Suite 101, Arcadia, CA 91007-9220 | 6264470035 | BEVERLY RADIOLOGY MEDICAL GROUP III |
| 612 W Duarte Rd, Suite 101, Arcadia, CA 91007-9220 | 6264454850 | ARCADIA RADIOLOGY MEDICAL GROUP A PROFESSIONAL CORPORATION |
| 622 W Duarte Rd, Suite 104, Arcadia, CA 91007-9269 | 6264470035 | BEVERLY RADIOLOGY MEDICAL GROUP III |
| 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 | 5626020700 | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Organization Legal Name | BEVERLY RADIOLOGY MEDICAL GROUP III |
| Physicians | 117 |
| 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 |
| Street Address |
3715 E S ST LAKEWOOD OPEN MRI |
| City | LONG BEACH |
| State | CA |
| Zip | 90805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon E Lis | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Glenda L Romero Urquhart | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Binh To Tran | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Peter Foldvary | Nuclear Medicine | 3715 E S St, Long Beach, CA 90805-4521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shamila Senanayake | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Adarsh Daswani | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Tae Y Lee | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Alice W Murphy | Physical Therapy | California Aquatic Therapy and Wellness Center Inc | 6801 Long Beach Blvd, Long Beach, CA 90805-1133 |
| John A Roohan | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 540 E Artesia Blvd, Long Beach, CA 90805-1476 |
| Sulabha A Dave | Radiation Oncology | 2440 E S St, Long Beach, CA 90805-4426 | |
| Thu T Koeler | Optometry | 3705 E S St, Long Beach, CA 90805-4521 | |
| Alfred M Yamamoto | Pathology | Affiliated Pathologists Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| James Le | Diagnostic Radiology | Century Radiology Medical Group Inc | 3700 E S St, Lakewood, CA 90805-4521 |
| Katrina F Riboni | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| Find all physicians in zip 90805 | |||
| City | LONG BEACH |
| Zip Code | 90805 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LONG BEACH + 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.