Active NPI
Landmark Imaging Medical Group, Inc.
- Diagnostic Radiology Physician
- Los Angeles, CA
National Provider Identifier
1124051354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LANDMARK IMAGING MEDICAL GROUP, INC.
- Practice address
- 11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706 - Phone
- (310) 914-7336
- Fax
- (310) 914-7326
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey M. Silverman, M.D.
- Title
- President
- Phone
- (310) 914-7336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706
Mailing address
PO Box 5667
Orange, CA 92863-5667
Phone (888) 598-8820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ02770Z | Other | BLUE SHIELD OF CA | |
| GR0091540 | Medicaid | CA | |
| CJ5919 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
11620 Wilshire Blvd
Fl 10
Los Angeles, CA 90025
Phone (310) 914-7336
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1710243696
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1407880073
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1932598737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1124051354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5667",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635667",
"telephone_number": "888-598-8820",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 WILSHIRE BLVD",
"address_2": "STE. 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251706",
"telephone_number": "310-914-7336",
"fax_number": "310-914-7326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK IMAGING MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "SILVERMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-914-7336",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ02770Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0091540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ5919",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.