Individual provider Active NPI

Spencer Silverbach, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1245287846
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G31205 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
May 28, 2006
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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 G31205 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
00G312050OtherCABLUE SHIELD
00G312050MedicaidCA

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
I20130603000103 CA Practitioner - Diagnostic RadiologyPractitioner - General Practice 1951215680 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologica IncGroup PAC ID 8820337769, 46 clinicians

Practice addresses (Care Compare)

501 E Locust St
Lone Pine, CA 93545-8044
Phone (760) 876-5501

510 E Locust St
Lone Pine, CA 93545-8044
Phone (760) 876-1146

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521

PO Box
Suite 1009
Lone Pine, CA 93545-1009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31205CAMDDental Hygienist
G31205CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Inyo Healthcare District CurrentSince Nov 30, 2022 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Professional Medical Ultrasound Inc CurrentSince Jul 1, 2013 Accepting new patients
Valley MRI and Radiology Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Apr 9, 2023 Accepting new patients
Arnold Greenberg MD Inc Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
Arvia Diagnostics, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Southern Inyo Healthcare District Current Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

5810 Jameson Ct
Ste 1
Carmichael, CA 95608
Phone (916) 979-0621

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

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

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

1617 N California St
Ste 107
Stockton, CA 95204

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

546 E Pine St
Stockton, CA 95204
Phone (209) 467-1000

607 E Magnolia St
Stockton, CA 95202
Phone (209) 616-6600

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1245287846",
    "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": "SILVERBACH",
        "first_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G31205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G312050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G312050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.