NPIMap

Organization Active NPI

Usc Imaging Associates Inc

Doing business as LAC USC Imaging Sciences Center

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1114971629
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
USC IMAGING ASSOCIATES INC
Doing business as
LAC USC Imaging Sciences Center
Practice address
1744 Zonal Ave
Los Angeles, CA 90033-5318
Phone
(323) 221-2744
Fax
(323) 221-1934
NPI assigned
May 20, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Edward Grant, M.D.NPI 1063465235
Title
President
Phone
(323) 221-2744

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1744 Zonal Ave
Los Angeles, CA 90033-5318

Mailing address

File 57174
Los Angeles, CA 90074-0001
Phone (323) 221-2744

Other identifiers 1

IdentifierTypeStateIssuer
GR0055340MedicaidCA

Other names 1

  • LAC USC Imaging Sciences Center Doing business as

National Provider Directory

National Provider Directory

Locations

1744 Zonal Ave
Los Angeles, CA 90033
Phone (714) 476-0447

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1114971629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "323-221-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 ZONAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335318",
            "telephone_number": "323-221-2744",
            "fax_number": "323-221-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC IMAGING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-221-2744",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAC USC Imaging Sciences Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.