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
- License
- G37428
- Legal business name
- WESTCOM RADIOLOGY MEDICAL GROUP
- Practice address
- 1711 W Temple St
Los Angeles, CA 90026-5421 - Phone
- (213) 484-3519
- Fax
- (213) 484-3592
- NPI assigned
- Mar 18, 2009
- Last updated
- Apr 2, 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 Schwartz, M.D.
- Title
- President
- Phone
- (213) 484-3519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G37428 | CA | Primary |
Addresses
Primary practice location
1711 W Temple St
Los Angeles, CA 90026-5421
Mailing address
1633 Erringer Rd
First Floor
Simi Valley, CA 93065-3583
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 1326009655
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": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1447491501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 ERRINGER RD",
"address_2": "FIRST FLOOR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653583",
"telephone_number": "805-578-8300",
"fax_number": "805-578-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900265421",
"telephone_number": "213-484-3519",
"fax_number": "213-484-3592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCOM RADIOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-484-3519",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G37428",
"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 Apr 2, 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.