Advanced Imaging of South Bay, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ADVANCED IMAGING OF SOUTH BAY, INC.

Practice address

4101 Torrance Blvd
Torrance, CA 90503-4607

Phone

(310) 303-5750

Fax

(310) 303-5709

NPI assigned

May 11, 2006

Last updated

Apr 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Z Stein, MDNPI 1437131810

Title

Authorized Official

Phone

(310) 707-3590

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA, MA, WA, TX, CO, NE, GA, DC8 enrollments

Enrollment records 8

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Z Stein, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1437131810
  Medicare reassignment NPD Authorized official
• Amanda Allen

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1184018509
  Medicare reassignment NPD
• Jaspreet Singh Batra, MD

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1134382237
  Medicare reassignment NPD
• Timothy V Bell, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1073596573
  Medicare reassignment NPD
• Ezra Theodore Fraser, M.D.

  • Diagnostic Radiology Physician
  • Hermosa Beach, CA
  • NPI 1023240561
  Medicare reassignment NPD
• Branden Juan Garcia, M.D.

  • Diagnostic Radiology Physician
  • Monrovia, CA
  • NPI 1689108029
  Medicare reassignment NPD
• Mario Corrado Giudici, MD

  • Diagnostic Radiology Physician
  • Signal Hill, CA
  • NPI 1558341073
  Medicare reassignment NPD
• James Y Hyun, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1518941624
  Medicare reassignment NPD
• Brandon Michael Ishaque, MD

  • Vascular & Interventional Radiology Physician
  • Torrance, CA
  • NPI 1194085290
  Medicare reassignment NPD
• Sammer Jazbeh, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1770825457
  Medicare reassignment NPD
• John E Jordan, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1720060791
  Medicare reassignment NPD
• Robert A Kolanz, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1447232822
  Medicare reassignment NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1003866914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21552",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851552",
            "telephone_number": "949-263-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-303-5750",
            "fax_number": "310-303-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING OF SOUTH BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "AUTHORIZED  OFFICIAL",
        "authorized_official_telephone_number": "310-707-3590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13652Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13651Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13660Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Riad Adoumie, M.D.
• Romina Anne Adriatico
• Advanced Body Care Wellness Center, a Sahrai Chiropractic Corp.
• Advanced Hearing Aid Solutions LLC
• Advanced OB GYN Associates a Medical Corporation
• Advanced Sleep Medicine Services Inc
• Advanced Surgical Center of Torrance, LLC (ASC of Torrance)
• Advanced Therapy Center
• Advanced Torrance Dental Group

• Diagnostic Radiology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.