Individual provider Active NPI

Clinton Wrigley, M.D.

  • Vascular & Interventional Radiology Physician
  • El Segundo, CA
National Provider Identifier
1205093580
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME124487 Issued in FL
Practice address
2330 Utah Ave
Radiology Partners
El Segundo, CA 90245
Phone
(242) 908-0044
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X ME124487 FL Primary

Addresses

Primary practice location

2330 Utah Ave
Radiology Partners
El Segundo, CA 90245

Mailing address

2330 Utah Ave
Radiology Partners
El Segundo, CA 90245
Phone (424) 290-8004

Other identifiers 1

IdentifierTypeStateIssuer
015212700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151012000891 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1557500923 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

1728 Hansen St
Sarasota, FL 34231-3518
Phone (904) 399-5550

1809 S Osprey Ave
Sarasota, FL 34239-3614
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (904) 399-5550

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Diagnostic Imaging Center Inc CurrentSince Jul 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Vascular & Interventional Radiology CurrentSince Jul 1, 2019 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Feb 1, 2016 Accepting new patients
Florida Diagnostic Imaging Center Inc CurrentSince Jun 29, 2021 Accepting new patients
Tower Imaging LLC CurrentSince Aug 31, 2015 Accepting new patients
Tower Imaging LLC CurrentSince Aug 31, 2015 Accepting new patients
SMH Physician Services Inc CurrentSince Feb 2, 2026 Accepting new patients
Tower Imaging LLC Vascular & Interventional Radiology Current Accepting new patients

Locations

2253 Heart Pine Ave
Odessa, FL 33556
Phone (813) 723-5911

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1205093580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE",
            "address_2": "RADIOLOGY PARTNERS",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "424-290-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE",
            "address_2": "RADIOLOGY PARTNERS",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "242-908-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGLEY",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME124487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015212700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.