NPIMap

Organization Active NPI

Beverly Radiology Medical Group III

Doing business as Northridge Diagnostic Center

  • Diagnostic Radiology Physician
  • Reseda, CA
National Provider Identifier
1093243404
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
462482 Issued in CA
Legal business name
BEVERLY RADIOLOGY MEDICAL GROUP III
Doing business as
Northridge Diagnostic Center
Practice address
8227 Reseda Blvd
Reseda, CA 91335-1247
Phone
(818) 773-6500
Fax
(818) 701-5936
NPI assigned
May 30, 2017
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Howard Gerald Berger, MDNPI 1851479315
Title
Director/ Owner
Phone
(310) 445-2951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 462482 CA Primary

Addresses

Primary practice location

8227 Reseda Blvd
Reseda, CA 91335-1247

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2800

Other practice location 1

8327 Reseda Blvd
Northridge, CA 91324-4620
Phone (818) 407-2643

Other names 1

  • Northridge Diagnostic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beverly Radiology Medical14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1093243404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351247",
            "telephone_number": "818-773-6500",
            "fax_number": "818-701-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8327 Reseda Blvd",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913244620",
            "country_code": "US",
            "telephone_number": "818-407-2643",
            "fax_number": "818-407-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEVERLY RADIOLOGY MEDICAL GROUP III",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "310-445-2951",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "462482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northridge Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.