Individual provider Active NPI

Juan F Lois, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1457303117
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A30368 Issued in CA
Practice address
2131 W 3Rd St
First Floor
Los Angeles, CA 90057
Phone
(213) 484-7901
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 A30368 CA Primary

Addresses

Primary practice location

2131 W 3Rd St
First Floor
Los Angeles, CA 90057

Mailing address

Dept la 21577
Pasadena, CA 91185-1577
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00A303680OtherCABLUE SHIELD
00A303680MedicaidCA

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
I20120131000806 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain ManagementPractitioner - Peripheral Vascular DiseasePractitioner - Interventional Radiology 9234396409 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30368CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 15, 2018 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 2, 2023 Accepting new patients
St Vincent Radiological Medical Group Diagnostic Radiology Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients

Locations

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

47111 Monroe St
#1112
Indio, CA 92201

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1457303117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21577",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851577",
            "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": "2131 W 3RD ST",
            "address_2": "FIRST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-484-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIS",
        "first_name": "JUAN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A30368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A303680",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A303680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.