Individual provider Active NPI

John Vernon Crues, M.D

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1255333480
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G42105 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
Jun 1, 2005
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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 G42105 CA Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
00G421050MedicaidCA
GR0106039MedicaidCA

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
I20031107000382 CA Practitioner - Diagnostic Radiology 9032022991 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

2428 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404-2046
Phone (310) 582-7900

41 120 Washington JFK
2ND FL
Indio, CA 92201
Phone (760) 360-3193

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42105CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 19, 2018 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 12, 2020 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 12, 2017 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 6, 1996 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 15, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Mar 27, 2015 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince May 1, 2006 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 19, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 12, 2007 Accepting new patients
Vacaville Imaging Center Medical Diagnostic Radiology CurrentSince Apr 13, 2010 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 26, 2003 Accepting new patients
Breastlink Medical Group Inc PastSince Feb 21, 2006 Accepting new patients
DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP Diagnostic Radiology PastSince Jan 1, 2014 Accepting new patients
Beverly Radiology Medical Group III Past Accepting new patients
Socal Mr Site Management, Inc. Diagnostic Radiology Past Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology PastSince Oct 11, 2019 Accepting new patients
Radiology Associates of New Jersey PC Diagnostic Radiology PastSince Jan 1, 2014 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology PastSince Dec 18, 2017 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology PastSince Jan 1, 2014 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology PastSince Jan 1, 2014 Accepting new patients

Locations (25 of 81)

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

444 W Osborn Rd
Ste 105
Phoenix, AZ 85013
Phone (602) 264-4459

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

710 N Euclid St
Ste 102
Anaheim, CA 92801
Phone (714) 517-2099

947 S Anaheim Blvd
Ste 130
Anaheim, CA 92805
Phone (714) 758-9800

18495 Corwin Rd
Apple Valley, CA 92307
Phone (760) 951-2867

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

465 N Roxbury Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 854-7722

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8750 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 385-7747

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

3808 W Riverside Dr
Ste 120
Burbank, CA 91505
Phone (818) 246-8000

3801 Las Posas Rd
Ste 111
Camarillo, CA 93010
Phone (805) 389-9657

175 E 9th St
Corona, CA 92879
Phone (951) 340-0312

2250 S Main St
Ste 103
Corona, CA 92882
Phone (951) 340-0340

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

886 Magnolia Ave
Ste 101
Corona, CA 92879
Phone (951) 340-4823

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

5363 Balboa Blvd
Ste 100
Encino, CA 91316
Phone (818) 479-4400

521 E Elder St
Ste 101
Fallbrook, CA 92028
Phone (310) 445-2843

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1255333480",
    "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": "90025",
            "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": "CRUES",
        "first_name": "JOHN",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G42105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G421050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.