Individual provider Active NPI

Larry Givens, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1306806617
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C42596 Issued in CA
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 C42596 CA Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20040526001357 CA Practitioner - Diagnostic Radiology 2769463660 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3430 E la Palma Ave
Anaheim, CA 92806-2020
Phone (888) 988-2800

3460 E la Palma Ave
Anaheim, CA 92806-2020
Phone (714) 644-2010

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Medical Group of WMMC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jul 5, 2021 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Quality Medical Imaging of California, Inc CurrentSince Aug 23, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 14, 2024 Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 14, 2024 Accepting new patients
Willits Hospital Inc. CurrentSince Nov 20, 2020 Accepting new patients
San Joaquin Community Hospital CurrentSince Apr 1, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Adventist Health Delano Current Accepting new patients
Adventist Health Delano CurrentSince Apr 1, 2021 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Ukiah Adventist Hospital CurrentSince Nov 1, 2020 Accepting new patients
Renaissance Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

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

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

47111 Monroe St
#1112
Indio, CA 92201

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

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

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Interoperability endpoints

  • Direct secure messaging: lgiven07@yourcarecommunity.org

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1306806617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "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": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-12-30",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C42596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.