Active NPI
Lebovic, Schwimer and Goldberg Medical Group
Doing business as LSG Imaging
- Diagnostic Radiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba LSG Imaging
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1164584926
O20040113000782
National Provider Directory
National Provider Directory- Tax ID family
- Lebovic Schwimer and Goldberg Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba LSG Imaging
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1164584926
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.
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1861554735
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1780746628
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1285796151
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.