Organization Active NPI

San Vicente Radiology Medical Group, Inc

  • Radiological Physics Physician
  • Beverly Hills, CA
National Provider Identifier
1013948652
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
Legal business name
SAN VICENTE RADIOLOGY MEDICAL GROUP, INC
Practice address
151 N San Vicente Blvd
Beverly Hills, CA 90211-2323
Phone
(323) 653-7300
Fax
(323) 653-7399
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Zhanna Trostenetskaya
Title
Office Manager
Phone
(323) 653-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X Primary

Addresses

Primary practice location

151 N San Vicente Blvd
Beverly Hills, CA 90211-2323

Mailing address

151 N San Vicente Blvd
Beverly Hills, CA 90211-2323
Phone (323) 653-7300

National Provider Directory

National Provider Directory

Locations

151 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 653-7300

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1013948652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SAN VICENTE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112323",
            "telephone_number": "323-653-7300",
            "fax_number": "323-653-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SAN VICENTE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112323",
            "telephone_number": "323-653-7300",
            "fax_number": "323-653-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN VICENTE RADIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TROSTENETSKAYA",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-653-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.