Organization Active NPI

Lebovic, Schwimer and Goldberg Medical Group

Doing business as LSG Imaging

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1063574838
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LEBOVIC, SCHWIMER AND GOLDBERG MEDICAL GROUP
Doing business as
LSG Imaging
Practice address
2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4743
Phone
(310) 394-2761
NPI assigned
Dec 15, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Ross T Goldberg, M.D.NPI 1861554735
Title
General Partner
Phone
(310) 394-2761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4743

Mailing address

2730 Wilshire Blvd
#110
Santa Monica, CA 90403-4706
Phone (310) 394-2761

Other names 1

  • LSG Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000782 CA Part B Supplier - Clinic/Group Practice 5193625184 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beverly Hills, CA; Santa Monica, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lebovic Schwimer and Goldberg Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1450 10th St
#206
Santa Monica, CA 90401
Phone (310) 394-2761

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1063574838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "#110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034706",
            "telephone_number": "310-394-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "#110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743",
            "telephone_number": "310-394-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBOVIC, SCHWIMER AND GOLDBERG MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "310-394-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSG Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.