Active NPI
Robert A Kolanz, MD
- Diagnostic Radiology Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G55707
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G557070 | Medicaid | CA | |
| 00G557070 | Other | CA | BLUE 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
Enrollment records 1
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
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 100
- Quality
- 91.7
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55707 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging of South Bay, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1023315074
-
- Diagnostic Radiology Physician
- Torrance, CA
- NPI 1003866914
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1013962067
-
- Radiology Clinic/Center
- Long Beach, CA
- NPI 1831173905
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.