Jason Lue (NPI# 1619141223, PAC ID# 2466525563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1619141223 |
| PAC ID by PECOS | 2466525563 |
| Professional Enrollment ID | I20080723000334 |
| Full Name | Jason Lue |
| Organization Legal Name | ON-LINE RADIOLOGY MEDICAL GROUP INC |
| Address |
1508 N Mercury Dr Los Angeles CA 90042-2275 |
| Phone Number | 9177235227 |
| Gender | M |
| Medical School | UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0648311548 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| 051333 | RIDGECREST REGIONAL HOSPITAL |
| 050235 | PROVIDENCE SAINT JOSEPH MEDICAL CTR |
| 050663 | LOS ANGELES COMMUNITY HOSPITAL |
| 050116 | NORTHRIDGE HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| Off Hwy 191 and Hospital Rd, Chinle, AZ 86503-2147 | 9286747166 | DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
| 315 Goldenrod Ave, Corona Del Mar, CA 92625-2905 | 9517860801 | ON-LINE RADIOLOGY MEDICAL GROUP INC |
| 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 5057221000 | DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER |
| 1508 N Mercury Dr, Los Angeles, CA 90042-2275 | 9177235227 | ON-LINE RADIOLOGY MEDICAL GROUP INC |
| 1508 N Mercury Dr, Los Angeles, CA 90042-2275 | 48099910918008 | MDIG OF NEW MEXICO LLC |
| 602 Indiana Ave, Lubbock, TX 79415-3364 | 8067758400 | UNIVERSITY MEDICAL CENTER UMC RADIOLOGY |
| 18436 Roscoe Blvd, Northridge, CA 91325-4107 | 8188853598 | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| 4212 N 16th St, Phoenix, AZ 85016-5319 | 6022631200 | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| 5662 Weatherstone Ct, San Diego, CA 92130-4826 | 6022462584 | MDIG OF TEXAS PLLC |
| Highway 491, Shiprock, NM 87420-0160 | 5053686050 | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Navajo Route 64, Tsaile, AZ 86556-0467 | 9287243600 | DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY |
| Organization Legal Name | ON-LINE RADIOLOGY MEDICAL GROUP INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Louise Huck | Diagnostic Radiology | On-line Radiology Medical Group Inc | 7904 Waterfalls Ave, Las Vegas, NV 89128-6709 |
| Joshua R Albrektson | Diagnostic Radiology | On-line Radiology Medical Group Inc | 750 S Spaulding Ave, Apt 120, Los Angeles, CA 90036-4554 |
| Charles M Davis | Diagnostic Radiology | On-line Radiology Medical Group Inc | 1019 Hwy 17 S, North Myrtle Beach, SC 29582-3702 |
| Jose Ospina | Diagnostic Radiology | On-line Radiology Medical Group Inc | 315 Goldenrod Ave, Corona Del Mar, CA 92625-2905 |
| Vinod Nigam | Diagnostic Radiology | On-line Radiology Medical Group Inc | 7704 Belvedere Pl, Rancho Cucamonga, CA 91730-6664 |
| Sandra J Althaus | Diagnostic Radiology | On-line Radiology Medical Group Inc | 7320 Bachelors Button Dr, Las Vegas, NV 89131-4119 |
| Kamiar Massrour | Diagnostic Radiology | On-line Radiology Medical Group Inc | 7310 N Shadow Mountain Rd, Paradise Valley, AZ 85253-3302 |
| Laiandrea M Stewart | Diagnostic Radiology | On-line Radiology Medical Group Inc | 5605 Saddlewood Ln, Brentwood, TN 37027-4837 |
| Alix Vincent | Diagnostic Radiology | On-line Radiology Medical Group Inc | 1246 W 155th St, Gardena, CA 90247-4011 |
| Samuel Salen | Diagnostic Radiology | On-line Radiology Medical Group Inc | 136 Emerson St, Upland, CA 91784-1337 |
| Street Address |
1508 N MERCURY DR |
| City | LOS ANGELES |
| State | CA |
| Zip | 90042-2275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ador A Bustamante | Family Practice | 5417 York Blvd, Los Angeles, CA 90042-2401 | |
| Roberto J Vado | Clinical Psychologist | 5516 York Blvd, Los Angeles, CA 90042-2404 | |
| Armando Pacheco | Family Medicine | Fcs Medical Corporation | 5823 York Blvd, Suite 1, Los Angeles, CA 90042-2634 |
| Gustavo A Alza Sr. | Internal Medicine | 5224 N Figueroa St, Los Angeles, CA 90042-4002 | |
| Dale R Mascari | Podiatry | 5636 N Figueroa St, Los Angeles, CA 90042-4102 | |
| Maria P Aguilar | Psychiatry | Los Angeles County Department of Mental Health | 5564 N Figueroa St, Los Angeles, CA 90042-4120 |
| Maneesh A Bansal | Internal Medicine | Jagan N Bansal Md Inc | 5540 N Figueroa St, Los Angeles, CA 90042-4120 |
| Oswaldo Huerta Franco | Physician Assistant | Jagan N Bansal Md Inc | 5540 N Figueroa St, Los Angeles, CA 90042-4120 |
| Karla M Perez | Clinical Social Worker | Los Angeles County Department of Mental Health | 5564 N Figueroa St, Los Angeles, CA 90042-4120 |
| Jagan N Bansal | Pulmonary Disease | Jagan N Bansal Md Inc | 5540 N Figueroa St, Los Angeles, CA 90042-4120 |
| Find all physicians in zip 90042 | |||
| City | LOS ANGELES |
| Zip Code | 90042 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LOS ANGELES + 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.