Bay Harbor MRI Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BAY HARBOR MRI INC

Practice address

1403 Lomita Blvd
Suite 107
Harbor City, CA 90710-2076

Phone

(310) 325-9901

Fax

(310) 325-0202

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tania M Reyes, D.O.

Title

Office Director

Phone

(310) 325-9901

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William V Glenn, MD

  • Diagnostic Radiology Physician
  • Manhattan Beach, CA
  • NPI 1447270608
  NPD
• Jamshid Ahmadi, M.D.

  • Neuroradiology Physician
  • Los Angeles, CA
  • NPI 1942252028
  NPD (past)
• Sam Zeim, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1558631655
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083639843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 107",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-325-9901",
            "fax_number": "310-325-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 107",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-325-9901",
            "fax_number": "310-325-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HARBOR MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "310-325-9901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TD062",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A321511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahuya Barua, MD
• Lerisa O Barzabal, DIETITIAN
• Evan S. Bass, MD
• Kirin Kaur Basuta
• Isabella Ann Bautista
• Claudia A Bear, OD
• Gabrielle Frances Beaubrun, MD
• Beechfield Manor, Inc.
• Nazly Behnia, PT,DPT
• Gary Belzberg, MD

• Specialist in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.