Beverly Radiology Medical Group III
Organization Active NPI Diagnostic Radiology Physician · Victorville, CA
NPI 1114112372 · NPPES record last updated Oct 13, 2015
Key facts
- NPI
- 1114112372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BEVERLY RADIOLOGY MEDICAL GROUP III
- 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard G. Berger, M.D.
- Title
- President
- Phone
- (310) 445-2851
Other NPIs on the same Medicare enrollment 15
Other NPIs with the same Medicare PAC ID 1
Practitioners 381
-
Jiyoon Kim, D.O.
-
Deborah Abelson, M.D.
-
Gregory R Applegate, M.D.
-
Dalia Artal, M.D.
-
Jack Berman, MD
-
John Bernard Braunstein, M.D.
-
Brooke Caldwell, M.D.
-
Samuel M Chen, M.D.
-
Martin Cohen, M.D.
-
Donald Edmond Decker, M.D.
-
Celina Duran, MD
-
Philip David Eaton, D.O.
-
Kiran Gangadhar, MD
-
Bernard Gero, M.D.
-
Irwin Grossman, M.D.
-
Kristina Elizabeth Hawk, MD/ PHD
-
Steven Henderson, MD
-
Michael E Hlinka, M.D.
-
Ralph Tinghan Ho, MD
-
William M. Kelly, M.D.
-
Josephine Lee, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (35 enrollments) 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, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000784 | CA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 343 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20040202001145 | CA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 330 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20060221000914 | CA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 366 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clovis, CA; Blackhawk, CA; Wildomar, CA; Temecula, CA; Sunnyvale, CA; San Jacinto, CA; Riverside, CA; Redwood City, CA… |
| O20141029002601 | AZ | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 22 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Scottsdale, AZ; Tempe, AZ; Cave Creek, AZ; Chandler, AZ; Flagstaff, AZ; Gilbert, AZ; Paradise Valley, AZ… |
| O20150828001730 | PA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ardmore, PA; Haverford, PA |
| O20150908000430 | IL | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 5 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vernon Hills, IL; Chicago, IL; Libertyville, IL; Oak Brook, IL |
| O20150909000429 | CO | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Littleton, CO; Grand Junction, CO; Edwards, CO; Denver, CO; Colorado Springs, CO; Castle Pines, CO |
| O20150917001294 | TX | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 18 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX; McKinney, TX; San Antonio, TX; Fair Oaks Ranch, TX; Spicewood, TX; Spring, TX; Whitehouse, TX; Aledo, TX… |
| O20150921000673 | VA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glen Allen, VA; Midlothian, VA |
| O20150925001097 | HI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Honolulu, HI; Kihei, HI; Kamuela, HI |
| O20150928000501 | DC | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bethesda, MD; McLean, VA |
| O20150928001050 | DE | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilmington, DE |
| O20151015002221 | NJ | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment Practice locations: Middlesex, NJ; Moorestown, NJ; Summit, NJ |
| O20151028002416 | GA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alpharetta, GA; Atlanta, GA; Evans, GA; Greensboro, GA |
| O20151105000064 | MD | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Columbia, MD; Forest Hill, MD |
| O20160105002652 | NY | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 9 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY; Victor, NY; Rye, NY; Hewlett, NY; Great Neck, NY |
| O20160126001729 | FL | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 6 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Port St Lucie, FL; St Petersburg, FL; Tampa, FL; The Villages, FL; Titusville, FL; Vero Beach, FL; Fort Lauderdale, FL; Weston, FL… |
| O20160831002303 | SC | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Daniel Island, SC; Murrells Inlet, SC; Bluffton, SC |
| O20161103002267 | WA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Liberty Lake, WA; Newcastle, WA; Seattle, WA; Yakima, WA |
| O20180426002520 | OR | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bend, OR; Jacksonville, OR; Portland, OR |
| O20180427000056 | LA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Orleans, LA |
| O20180521002543 | KS | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Leawood, KS; Manhattan, KS; Wichita, KS |
| O20180619003615 | NC | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensboro, NC |
| O20181026000876 | WI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fox Point, WI; Kewaunee, WI |
| O20191001001297 | ME | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kittery Point, ME |
| O20200428000235 | MI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 4 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ann Arbor, MI; Royal Oak, MI; Detroit, MI; Bloomfield Hills, MI |
| O20221130003004 | OH | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Loveland, OH; Portsmouth, OH |
| O20230719004222 | TN | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: College Grove, TN; Knoxville, TN |
| O20231207000799 | ID | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 7 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Idaho Falls, ID; Eagle, ID; Boise, ID |
| O20231222001029 | NV | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
| O20240828002055 | KY | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY |
| O20241029000575 | CT | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 4 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenwich, CT; Ridgefield, CT; New Britain, CT |
| O20241217003934 | NE | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Omaha, NE; Papillion, NE |
| O20241218001613 | IA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clive, IA |
| O20241230001689 | IN | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carmel, IN |
National Provider Directory
Locations
18523 Corwin Rd
#102
Apple Valley, CA 92307
Phone (760) 242-4444
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
17260 Bear Valley Rd
Suite 109
Victorville, CA 92395-7777
Mailing address
1510 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2851
Other names
- Elite Advanced Imaging
Other providers in Victorville, CA
- Susannah Laree Best
- 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
- Priyadarshini S Bhatia
- Payal Samir Bhavsar
All providers in Victorville, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.