Individual provider Active NPI

Debra F. Mund, M.D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1326023516
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G70390 Issued in CA
Practice address
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone
(310) 264-9000
Fax
(310) 264-9004
NPI assigned
Dec 9, 2005
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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 G70390 CA Primary

Addresses

Primary practice location

2202 Wilshire Blvd
Santa Monica, CA 90403-5706

Mailing address

Dept la 21559
Pasadena, CA 91185-1559
Phone (888) 727-1073

Other identifiers 2

IdentifierTypeStateIssuer
00G703900OtherCABLUE SHIELD OF CA
00G703900MedicaidCA

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
I20050831000940 CA Practitioner - Diagnostic Radiology 7911939715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

Practice addresses (Care Compare)

1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814

2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2006 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Apr 1, 2006 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Queens Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Saint John's Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Tower Imaging Medical Centers, Inc. Diagnostic Radiology Past Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

14860 Roscoe Blvd
Ste 100
Panorama City, CA 91402
Phone (818) 904-0543

Dept LA 21559
Pasadena, CA 91185

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-8200

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

5215 Torrance Blvd
Ste 110
Torrance, CA 90503
Phone (310) 316-2424

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

23929 McBean Pkwy
Ste 109
Valencia, CA 91355
Phone (661) 253-8705

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1326023516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21559",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851559",
            "telephone_number": "888-727-1073",
            "fax_number": "866-752-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035706",
            "telephone_number": "310-264-9000",
            "fax_number": "310-264-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUND",
        "first_name": "DEBRA",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G70390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G703900",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G703900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.