Individual provider Active NPI

Vinson Louis Uytana, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1275515611
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A75941 Issued in CA
Practice address
5422 Homeside Ave
Los Angeles, CA 90016-3712
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A75941 CA Primary
Neuroradiology Physician 2085N0700X A75941 CA
Diagnostic Radiology Physician 2085R0202X 042-0011719 VT

Addresses

Primary practice location

5422 Homeside Ave
Los Angeles, CA 90016-3712

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, HI, WA, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050304000582 CA Practitioner - Diagnostic Radiology 8426002296 Reassigns benefits to 5 organizations
I20190215000401 NY Practitioner - Diagnostic Radiology 8426002296 Reassigns benefits to 1 organization
I20190712001763 HI Practitioner - Diagnostic Radiology 8426002296 Reassigns benefits to 1 organization
I20221130002790 WA Practitioner - Diagnostic Radiology 8426002296 Reassigns benefits to 3 organizations
I20240125001308 OH Practitioner - Diagnostic Radiology 8426002296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Radiology Associates of Canton IncGroup PAC ID 7012829260, 35 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

12032 NE 109TH St
Vancouver, WA 98662-3421
Phone (380) 235-6195

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0011719VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Sep 6, 2013 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Dec 11, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Oct 18, 2021 Accepting new patients
Solano Diagnostics Partners a Calif Limited Partnership Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
John Muir Trauma Physicians Billing Service Family Medicine CurrentSince Oct 16, 2019 Accepting new patients
University Radiology Associates, LLP Neuroradiology CurrentSince Feb 1, 2019 Accepting new patients
Radiology Associates of Canton, Inc. Neuroradiology CurrentSince Apr 21, 2024 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Nov 1, 2020 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Eagle Partners, PLLC Neuroradiology Past Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

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

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

235 Forest St
Unit 686
Wausau, WI 54402

Interoperability endpoints

  • Direct secure messaging: vinson.uytana@westgahealth.gadirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1275515611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 HOMESIDE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163712",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYTANA",
        "first_name": "VINSON",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A75941",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A75941",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0011719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.