Individual provider Active NPI

Michael Ellerin David, MD

  • Diagnostic Radiology Physician
  • West Hollywood, CA
National Provider Identifier
1003303132
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
328446 Issued in NY
Practice address
8700 Beverly Blvd # M-335
West Hollywood, CA 90048-1804
Phone
(310) 423-3095
NPI assigned
Apr 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A174392 CA
Diagnostic Radiology Physician 2085R0202X 328446 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8700 Beverly Blvd # M-335
West Hollywood, CA 90048-1804

Mailing address

8705 Gracie Allen Dr
Los Angeles, CA 90048-3812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240130001350 CA Practitioner - Diagnostic Radiology 0941653661 Reassigns benefits to 14 organizations
I20240422001694 NY Practitioner - Diagnostic Radiology 0941653661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians

Practice addresses (Care Compare)

248 Landis Ave
Chula Vista, CA 91910-2609
Phone (619) 790-8950

35800 Bob Hope Dr
Suite 150a
Rancho Mirage, CA 92270-1740
Phone (760) 770-1920

6191 N Thesta St
Fresno, CA 93710-5266
Phone (559) 447-2600

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174392CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Columbia/Newyork-Presbyterian Advanced Imaging Inc. CurrentSince Nov 23, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Cedars-Sinai Imaging Medical Group a Professional Corporation Diagnostic Radiology CurrentSince Dec 18, 2023 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 4, 2026 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Mar 28, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 28, 2024 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Mar 28, 2024 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

2301 Bahamas Dr
Bakersfield, CA 93309

248 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2338

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

35800 Bob Hope Dr
Ste 150A
Rancho Mirage, CA 92270
Phone (760) 770-1920

79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200

3440 California St
San Francisco, CA 94118
Phone (415) 922-6767

125 Ciro Ave
Ste 220
San Jose, CA 95128
Phone (408) 297-4591

3536 Mendocino Ave
Ste 280
Santa Rosa, CA 95403
Phone (707) 579-8226

1801 E March Ln
Ste A130
Stockton, CA 95210
Phone (209) 475-9871

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
#M335
West Hollywood, CA 90048
Phone (310) 423-6744

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

722 W 168th St
New York, NY 10032
Phone (212) 305-6754

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666

630 W 168th St
#28
New York, NY 10032
Phone (212) 305-1948

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1003303132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 GRACIE ALLEN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD # M-335",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MICHAEL",
        "middle_name": "ELLERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A174392",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "328446",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.