Individual provider Active NPI

Stuart Edwin Strausberg, D.O.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1316065683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A3638 Issued in CA
Practice address
11718 Barrington CT
Apt 701
Los Angeles, CA 90049-2930
Phone
(818) 722-3332
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20A3638 CA Primary

Addresses

Primary practice location

11718 Barrington CT
Apt 701
Los Angeles, CA 90049-2930

Mailing address

11718 Barrington CT
Apt 701
Los Angeles, CA 90049-2930
Phone (818) 722-3332

Other identifiers 1

IdentifierTypeStateIssuer
20A3638OtherCAPHYSICIAN LICENSE NUMBER

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
I20040717000372 CA Practitioner - Diagnostic Radiology 5698754166 Reassigns benefits to 2 organizations
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
K & T Diagnostic, Inc. CurrentSince Feb 1, 2012 Accepting new patients
Ca Physician Assistant Cooperative Healthcare, PC CurrentSince Dec 16, 2024 Accepting new patients
Ca Medical Diagnostics Inc CurrentSince Mar 1, 2015 Accepting new patients
Advanced Reflection Inc CurrentSince Sep 1, 2022 Accepting new patients
Icm Medical Group, Inc. CurrentSince Jul 29, 2013 Accepting new patients
Los Angeles Broadway Radiology Professional Corporation Diagnostic Radiology Current Accepting new patients
Reliable Diagnostics Services, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Ca Best Diagnostics, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Universal Diagnostics Center, Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Multi Health Care Medical Group Inc. PastSince Oct 1, 2002 Accepting new patients
Central Neuro Diagnostic, Inc Past Accepting new patients

Locations

645 Aerick St
Ste 3
Inglewood, CA 90301
Phone (310) 431-4926

13547 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 219-2902

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316065683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11718 BARRINGTON CT",
            "address_2": "APT 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492930",
            "telephone_number": "818-722-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 BARRINGTON CT",
            "address_2": "APT 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492930",
            "telephone_number": "818-722-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSBERG",
        "first_name": "STUART",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A3638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE NUMBER",
            "identifier": "20A3638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.