Beverly Radiology Medical Group III
Organization Active NPI Radiology Clinic/Center · Barstow, CA
NPI 1285867887 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1285867887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- License
- 23105 (CA)
- Legal business name
- BEVERLY RADIOLOGY MEDICAL GROUP III
- Practice address
- 222 E Main St
Suites 213 & 214
Barstow, CA 92311-2361 - Phone
- (760) 242-4444
- Fax
- (760) 242-7288
- NPI assigned
- Aug 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard G. Berger, M.D.
- Title
- Ceo & President
- Phone
- (310) 445-2800
Other NPIs on the same Medicare enrollment 13
Practitioners 32
-
Jack Berman, MD
-
Douglas Henderson Brown, M.D.
-
Stephanie Yu-Hue Chiu, M.D.
-
Celina Duran, MD
-
Rachael Gordon, M.D.
-
Stephen Greenberg, M.D.
-
Waad Hanna, M.D.
-
Joseph P. Liu, M.D.
-
Sharon Rachel Meiselman, M.D.
-
Susie Jane Muir, MD
-
Michael Noud, M.D.
-
Naser Rahbar, M.D.
-
David Philip Reiner, M.D.
-
Aman Singh Saini, DO
-
Hamidreza Torshizy, M.D.
-
Benjamin Y Wang, MD
-
Martha Ann Wiedman, M.D.
-
Shota Yamamoto, MD
-
Tinoosh Zand, M.D.
-
Eric Davis, M.D.
-
Philip B. McDonald, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (27 enrollments) in CA, AZ, PA, IL, CO, TX, VA, HI, DC, NJ, GA, NY, FL, SC, WA, OR, WI, MI, OH, TN, ID, NV, KY, CT, NE, IA, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202001145 | CA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 330 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20141029002601 | AZ | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 22 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Scottsdale, AZ; Tempe, AZ; Cave Creek, AZ; Chandler, AZ; Flagstaff, AZ; Gilbert, AZ; Paradise Valley, AZ… |
| O20150828001730 | PA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ardmore, PA; Haverford, PA |
| O20150908000430 | IL | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 5 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vernon Hills, IL; Chicago, IL; Libertyville, IL; Oak Brook, IL |
| O20150909000429 | CO | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Littleton, CO; Grand Junction, CO; Edwards, CO; Denver, CO; Colorado Springs, CO; Castle Pines, CO |
| O20150917001294 | TX | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 18 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX; McKinney, TX; San Antonio, TX; Fair Oaks Ranch, TX; Spicewood, TX; Spring, TX; Whitehouse, TX; Aledo, TX… |
| O20150921000673 | VA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glen Allen, VA; Midlothian, VA |
| O20150925001097 | HI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Honolulu, HI; Kihei, HI; Kamuela, HI |
| O20150928000501 | DC | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bethesda, MD; McLean, VA |
| O20151015002221 | NJ | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Middlesex, NJ; Moorestown, NJ; Summit, NJ |
| O20151028002416 | GA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alpharetta, GA; Atlanta, GA; Evans, GA; Greensboro, GA |
| O20160105002652 | NY | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 9 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY; Victor, NY; Rye, NY; Hewlett, NY; Great Neck, NY |
| O20160126001729 | FL | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 6 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Port St Lucie, FL; St Petersburg, FL; Tampa, FL; The Villages, FL; Titusville, FL; Vero Beach, FL; Fort Lauderdale, FL; Weston, FL… |
| O20160831002303 | SC | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Daniel Island, SC; Murrells Inlet, SC; Bluffton, SC |
| O20161103002267 | WA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Liberty Lake, WA; Newcastle, WA; Seattle, WA; Yakima, WA |
| O20180426002520 | OR | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bend, OR; Jacksonville, OR; Portland, OR |
| O20181026000876 | WI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fox Point, WI; Kewaunee, WI |
| O20200428000235 | MI | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 4 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ann Arbor, MI; Royal Oak, MI; Detroit, MI; Bloomfield Hills, MI |
| O20221130003004 | OH | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Loveland, OH; Portsmouth, OH |
| O20230719004222 | TN | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: College Grove, TN; Knoxville, TN |
| O20231207000799 | ID | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 7 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Idaho Falls, ID; Eagle, ID; Boise, ID |
| O20231222001029 | NV | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
| O20240828002055 | KY | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY |
| O20241029000575 | CT | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 4 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenwich, CT; Ridgefield, CT; New Britain, CT |
| O20241217003934 | NE | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 3 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Omaha, NE; Papillion, NE |
| O20241218001613 | IA | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 1 practitioner 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clive, IA |
| O20241230001689 | IN | Part B Supplier - Clinic/Group Practice | 3476466376 |
Receives reassigned benefits from 2 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carmel, IN |
National Provider Directory
Locations
3115 N 3rd Ave
Ste 140
Phoenix, AZ 85013
Phone (480) 455-1850
222 E Main St
Ste 213
Barstow, CA 92311
Phone (760) 242-4444
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
17260 Bear Valley Rd
Ste 209
Victorville, CA 92395
Phone (760) 843-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 23105 | CA | Yes |
Addresses
Primary practice location
222 E Main St
Suites 213 & 214
Barstow, CA 92311-2361
Mailing address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2800
Other providers in Barstow, CA
- Donald Anthony Belanger
- Cathy Marie Bellard
- Adilene Bernardino
- Beta Home Health Care Inc
- Maria Eloisa Betancourt
- Amanda Ann Birescik
- Sheryl Bixler
- Caitlin Black
- William Jesse Black
- Celia Blanco
All providers in Barstow, CA · Radiology Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.