Individual provider Active NPI

Shwayta Kukreti, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1144515693
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A1124764 Issued in CA
Practice address
757 Westwood PLZ
Suite 1633
Los Angeles, CA 90095-8358
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125059534 IL
Diagnostic Radiology Physician 2085R0202X A1124764 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Suite 1633
Los Angeles, CA 90095-8358

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714002516 CA Practitioner - Diagnostic Radiology 5092007872 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

125 Ciro Ave
Suite 230
San Jose, CA 95128-1671
Phone (408) 297-4591

1441 Avocado Ave
Suite 301
Newport Beach, CA 92660-7704
Phone (310) 445-2843

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

18133 Ventura Blvd
Suite 200
Tarzana, CA 91356-3641
Phone (480) 455-1850

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

2336 Santa Monica Blvd
Suite 206
Santa Monica, CA 90404-2938
Phone (310) 315-1000

250 S 12TH Ave
Hanford, CA 93230-6176
Phone (559) 295-2450

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

275 N Cielo Rd
Palm Springs, CA 92262-6972

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 318-1934

31775 De Portola Rd
Temecula, CA 92592-2742
Phone (951) 238-6070

3715 E S St
Long Beach, CA 90805-4521
Phone (562) 602-0700

3900 Sherman Dr
Riverside, CA 92503-4006

408 S Beach Blvd
Suite 106
Anaheim, CA 92804-1873
Phone (714) 995-5471

4640 Admiralty Way
Suite 102
Marina del Rey, CA 90292-6629
Phone (310) 305-4611

490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005

57840 29 Palms Hwy
Yucca Valley, CA 92284-3047
Phone (760) 228-1047

6107 N Fresno St
Suite 101
Fresno, CA 93710-8617
Phone (559) 435-4433

625 S Fair Oaks Ave
Suite 140
Pasadena, CA 91105-2650
Phone (626) 445-4850

630 S Raymond Ave
Pasadena, CA 91105-3283

6440 S St
Lakewood, CA 90713-1713
Phone (562) 299-6230

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125059534ILMDInternal Medicine Physician
A1124764CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Mar 9, 2020 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Mar 9, 2020 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2016 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations (25 of 45)

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1144515693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "SUITE 1633",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKRETI",
        "first_name": "SHWAYTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125059534",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A1124764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.