NPIMap

Organization Active NPI

St Francis Radiology Medical Group

  • Diagnostic Radiology Physician
  • Lynwood, CA
National Provider Identifier
1215085618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ST FRANCIS RADIOLOGY MEDICAL GROUP
Practice address
3630 East Imperial Hwy
Lynwood, CA 90262
Phone
(310) 900-8852
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Albert K Szeto, MDNPI 1982752390
Title
Partner in St Francis Radiology Med
Phone
(310) 900-8852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3630 East Imperial Hwy
Lynwood, CA 90262

Mailing address

PO Box 4505
Woodland Hills, CA 91365-4505
Phone (805) 375-8800

Other identifiers 3

IdentifierTypeStateIssuer
GR0017660MedicaidCA
HSC30104FOtherCAMEDI CAL IP FACILITY ID
ZZZ90555ZOtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, OR, NY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050712000380 CA Part B Supplier - Clinic/Group Practice 7113953159 Receives reassigned benefits from 21 practitioners
Practice locations: Orange, CA; Spring Valley, CA; Lynwood, CA; Gardena, CA; Newport Coast, CA
O20240530001601 FL Part B Supplier - Clinic/Group Practice 7113953159 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20250522000896 OR Part B Supplier - Clinic/Group Practice 7113953159 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20250618000666 NY Part B Supplier - Clinic/Group Practice 7113953159 Receives reassigned benefits from 1 practitioner
Practice locations: Sag Harbor, NY

National Provider Directory

National Provider Directory

Locations

1485 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215085618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4505",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654505",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 EAST IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-900-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SZETO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER IN ST FRANCIS RADIOLOGY MED",
        "authorized_official_telephone_number": "310-900-8852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0017660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL IP FACILITY ID",
            "identifier": "HSC30104F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ90555Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.