Active NPI
Westcom Radiology Medical Group
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WESTCOM RADIOLOGY MEDICAL GROUP
- Practice address
- 4081 E Olympic Blvd
Los Angeles, CA 90023-3330 - Phone
- (323) 267-0477
- NPI assigned
- Mar 28, 2006
- Last updated
- Nov 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin A Schwartz, MD
- Title
- President
- Phone
- (323) 267-0477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0065300 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1043271380
O20050513000786
-
- Diagnostic Radiology Physician
- Norwalk, CA
- NPI 1255392510
O20050513000786
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1447491501
O20050513000786
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1912968231
O20050513000786
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1316908072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258329600000",
"number": "1326009655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-267-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCOM RADIOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2009-11-16",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-267-0477",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0065300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.