Individual provider Active NPI

Yvette R. Price, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1194832394
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A65505 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
Aug 24, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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 A65505 CA Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other identifiers 2

IdentifierTypeStateIssuer
00A655050MedicaidCA
00A655050OtherCABLUE SHIELD

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
I20060405000715 CA Practitioner - Diagnostic Radiology 3476562273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Lomis M D Inc a Professional CorporationGroup PAC ID 9739145806, 12 clinicians

Practice addresses (Care Compare)

15211 Vanowen St
Suite 208
Van Nuys, CA 91405-3623
Phone (818) 782-3255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65505CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Tan, M.D. Medical Corporation Diagnostic Radiology CurrentSince May 17, 2021 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 15, 2017 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 15, 2017 Accepting new patients
Thomas J Lomis, MD, Inc. a Professional Corporation CurrentSince Mar 17, 2024 Accepting new patients
Memrad Medical Group Inc Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

15211 Vanowen St
Ste 208
Van Nuys, CA 91405
Phone (818) 343-0705

Organizations & group practices 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1194832394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "YVETTE",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A65505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A655050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A655050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.