Individual provider Active NPI

Steven B Oglevie, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
National Provider Identifier
1154365310
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A43861 Issued in CA
Practice address
1460 Seabright PL
Beverly Hills, CA 90210-2126
Phone
(949) 887-8304
NPI assigned
Jun 16, 2006
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A43861 CA Primary

Addresses

Primary practice location

1460 Seabright PL
Beverly Hills, CA 90210-2126

Mailing address

1460 Seabright PL
Beverly Hills, CA 90210-2126
Phone (949) 887-8304

Other identifiers 2

IdentifierTypeStateIssuer
00A438610OtherCABLUE SHIELD
00A438610MedicaidCA

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
I20040426000737 CA Practitioner - Diagnostic Radiology 9436145224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43861CAMDDentist
A43861CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Feb 15, 2011 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

455 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 574-8200

Dept LA 21705
Pasadena, CA 91185

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1154365310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 SEABRIGHT PL",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102126",
            "telephone_number": "949-887-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 SEABRIGHT PL",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102126",
            "telephone_number": "949-887-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLEVIE",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A43861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A438610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A438610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.