Individual provider Active NPI

Maurice J Hale, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1366450116
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G84687 Issued in CA
Practice address
800 S Central Ave
Suite 100B
Glendale, CA 91204-4370
Phone
(818) 548-8333
Fax
(818) 548-7888
NPI assigned
Aug 4, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 G84687 CA Primary

Addresses

Primary practice location

800 S Central Ave
Suite 100B
Glendale, CA 91204-4370

Mailing address

4910 Van Nuys Blvd
Ste 108
Sherman Oaks, CA 91403-1757
Phone (818) 548-8333

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
I20040415000419 CA Practitioner - Diagnostic Radiology 7719972215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glendale Diagnostic Imaging Network Medical Office IncGroup PAC ID 6305877051, 3 clinicians

Practice addresses (Care Compare)

403 S Glendale Ave
Glendale, CA 91205-2222
Phone (818) 546-1929

4910 Van Nuys Blvd
Suite 108
Sherman Oaks, CA 91403-1757
Phone (818) 986-8215

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84687CAMDMarriage & Family Therapist
G84687CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pegasus Imaging, LLC Current Accepting new patients
Central Diagnostic Imaging Network Diagnostic Radiology Past Accepting new patients
Glendale Diagnostic Imaging Network Medical Office, Inc Diagnostic Radiology PastSince Jul 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3320/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1366450116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "STE 108",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031757",
            "telephone_number": "818-548-8333",
            "fax_number": "818-548-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "SUITE 100B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-548-8333",
            "fax_number": "818-548-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MAURICE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.