Individual provider Active NPI

Robert A Kolanz, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
National Provider Identifier
1447232822
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G55707 Issued in CA
Practice address
4101 Torrance Blvd
Torrance, CA 90503
Phone
(310) 303-5750
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G55707 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G55707 CA

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503

Mailing address

Dept la 21552
Pasadena, CA 91185-1552
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00G557070MedicaidCA
00G557070OtherCABLUE SHIELD

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
I20040930001170 CA Practitioner - Diagnostic Radiology 4981508801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians

Practice addresses (Care Compare)

1010 N Sepulveda Blvd
Suite 5
Manhattan Beach, CA 90266-5929
Phone (310) 318-9992

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 832-3311

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

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-7676

520 N Prospect Ave
Suite 103
Redondo Beach, CA 90277-3033
Phone (424) 452-0175

5215 Torrance Blvd
Suite 110
Torrance, CA 90503-4009
Phone (310) 316-2424

7345 Medical Ctr Dr
Suite 600
Canoga Park, CA 91307-1966
Phone (818) 347-2921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.76 of 100Reported as group
Quality
91.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55707CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

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

Dept LA 21552
Pasadena, CA 91185

1294 W 6th St
Ste 104
San Pedro, CA 90731
Phone (310) 548-9118

1360 W 6th St
Ste 100
San Pedro, CA 90732
Phone (310) 514-2453

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

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

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

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

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

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

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

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 and National Provider Directory roles.

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": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1447232822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21552",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851552",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-303-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANZ",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G55707",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G55707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G557070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G557070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.