Irwin Grossman, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Oxnard, CA
NPI 1205004652 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1205004652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- G19219 (CA)
- Practice address
- 2001 Solar Dr Ste 135
Oxnard, CA 93036-0635 - Phone
- (805) 988-0616
- Fax
- (805) 278-5570
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- State University of New York Downstate Medical Center, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beverly Radiology Medical Group III
Practice addresses (Care Compare)
415 Rolling Oaks Dr
Suite 125And160
Thousand Oaks, CA 91361-1029
Phone (805) 778-1513
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610000684 | CA | Practitioner - Diagnostic Radiology | 7315920469 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19219 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current |
Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current |
Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current |
Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current |
Accepting new patients |
Locations
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 205
Corona, CA 92882
Phone (951) 351-1025
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
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
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230
3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014
2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 861-2200
2151 E Gonzales Rd
Ste 101
Oxnard, CA 93036
Phone (805) 988-0616
2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067
300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220
415 Rolling Oaks Dr
Ste 125160
Thousand Oaks, CA 91361
Phone (805) 778-1513
2705 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 861-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G19219 | CA | Yes |
Addresses
Primary practice location
2001 Solar Dr Ste 135
Oxnard, CA 93036-0635
Mailing address
2001 Solar Dr Ste 135
Oxnard, CA 93036-0635
Phone (805) 988-0616
Other providers in Oxnard, CA
- Dorothy M Grimes
- Melody Christina Grimmett
- Griselda Murias Family Therapy, Professional Corporation
- Karla Groeneveld
- John Groom
- Leah E. Grossman
- Nicola Grun
- Laura J Guanill
- Daniel Guel I
- Rachell Irene Guerra
All providers in Oxnard, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.