Beverly Radiology Medical Group III

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BEVERLY RADIOLOGY MEDICAL GROUP III

Doing business as

Elite Advanced Imaging

Practice address

17260 Bear Valley Rd
Suite 109
Victorville, CA 92395-7777

Phone

(310) 445-2851

Fax

(310) 479-1459

NPI assigned

Sep 11, 2007

Last updated

Oct 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Howard G. Berger, M.D.

Title

President

Phone

(310) 445-2851

Specialties & licenses 1

Addresses

Other names 1

• Elite Advanced Imaging Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, AZ, PA, IL, CO, TX, VA, HI, DC, DE, NJ, GA, MD, NY, FL, SC, WA, OR, LA, KS, NC, WI, ME, MI, OH, TN, ID, NV, KY, CT, NE, IA, IN35 enrollments

Enrollment records 35

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812

  3476466376

  Same PAC ID

Other NPIs on the same Medicare enrollment 15

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

• Beverly Radiology Medical Group

  dba Temecula Valley Imaging Center

  • Diagnostic Radiology Physician
  • Fallbrook, CA
  • NPI 1043681752

  O20031106000784

  Same enrollment
• Beverly Radiology Medical Group

  dba Vanowen Advanced Imaging

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1164760823

  O20031106000784, O20040202001145

  Same enrollment
• Beverly Radiology Medical Group

  dba La Mirada Imaging

  • Diagnostic Radiology Physician
  • La Mirada, CA
  • NPI 1184981409

  O20031106000784

  Same enrollment
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Pasadena, CA
  • NPI 1093998122

  O20031106000784, O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20

  Same enrollment
• Beverly Radiology Medical Group III

  • Radiology Clinic/Center
  • Barstow, CA
  • NPI 1285867887

  O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  dba Burbank Imaging Center

  • Diagnostic Radiology Physician
  • Burbank, CA
  • NPI 1366766180

  O20031106000784, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Encino, CA
  • NPI 1396933156

  O20031106000784, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1467647636

  O20031106000784, O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20

  Same enrollment
• Beverly Radiology Medical Group III

  dba San Bernardino Advanced Imaging

  • Diagnostic Radiology Physician
  • San Bernardino, CA
  • NPI 1477872919

  O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1497941421

  O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  dba Temecula Valley Imaging Ctr--Menifee

  • Diagnostic Radiology Physician
  • Menifee, CA
  • NPI 1649599085

  O20060221000914, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment
• Beverly Radiology Medical Group III

  dba Redlands Advanced Imaging

  • Diagnostic Radiology Physician
  • Redlands, CA
  • NPI 1801159736

  O20040202001145, O20141029002601, O20150828001730, O20150908000430, O20150909000429, O20150917001294, O20150921000673, O20150925001097, O20150928000501, O20151015002221, O20151028002416, O20160105002652, O20160126001729, O20160831002303, O20

  Same enrollment

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812

  Member Of

  NPD member
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Concord, CA
  • NPI 1003965997

  Member Of

  NPD member
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Fremont, CA
  • NPI 1013031772

  Member Of

  NPD member
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1376667022

  Member Of

  NPD member
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Pleasanton, CA
  • NPI 1578687166

  Member Of

  NPD member
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Berkeley, CA
  • NPI 1881971299

  Member Of

  NPD member
• San Fernando Valley Interventional Radiology and Imaging Center

  • Vascular-Interventional Technology Radiologic Technologist
  • Encino, CA
  • NPI 1942350889

  Member Of

  NPD member

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 113

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.

• Jiyoon Kim, D.O.

  • Diagnostic Radiology Physician
  • NPI 1851612170

  NJ

  Medicare reassignment Care Compare group NPD
• Chad Brian Rabinowitz, MD

  • Diagnostic Radiology Physician
  • Moorestown, NJ
  • NPI 1871579292
  Medicare reassignment NPD
• Deborah Abelson, M.D.

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
  • NPI 1821277252
  NPD
• Daniel Amirhamzeh, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1285920637
  NPD
• Gregory R Applegate, M.D.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1386751741
  NPD
• Dalia Artal, M.D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1235465964
  NPD
• David Aufrichtig, MD

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
  • NPI 1295705028
  NPD
• Faraien Salman Bahri

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1205396751
  NPD
• Jack Berman, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1417977786
  NPD
• John Bernard Braunstein, M.D.

  • Diagnostic Radiology Physician
  • Inglewood, CA
  • NPI 1689615437
  NPD
• Brooke Caldwell, M.D.

  • Diagnostic Radiology Physician
  • Pleasanton, CA
  • NPI 1134176969
  NPD
• Jonas Reymundo Castaneda-Panuco

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1659799369
  NPD

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1114112372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2851",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17260 BEAR VALLEY RD",
            "address_2": "SUITE 109",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957777",
            "telephone_number": "310-445-2851",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY RADIOLOGY MEDICAL GROUP III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Advanced Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susannah Laree Best, RN
• Taylor Best
• Aundria Joi Bethal
• Bethel Transport Services
• Betty a. Murphy, LMFT, Inc
• Beverly Radiology Medical Group III
• Beverly Radiology Medical Group III
• Bipinchandra Venilal Bhagat, M.D.
• Priyadarshini S Bhatia
• Payal Samir Bhavsar, FNP-BC

• Diagnostic Radiology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.