Individual provider Active NPI

Waleed Qaisi, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1467475442
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C168272 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 C168272 CA Primary
Diagnostic Radiology Physician 2085R0202X MD23292 OR

Addresses

Primary practice location

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045

Mailing address

2701 NW Vaughn St
Ste 425
Portland, OR 97210-5311
Phone (503) 227-2400

Other practice location 1

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-4032

Other identifiers 1

IdentifierTypeStateIssuer
287280MedicaidOR

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
I20200508000463 CA Practitioner - Diagnostic Radiology 7416988712 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

1080 N Indian Canyon Dr
Suite 104
Palm Springs, CA 92262-4870
Phone (760) 322-3036

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

11525 Brookshire Ave
Suite 111
Downey, CA 90241-4982
Phone (562) 904-1111

11570 Indian Hills Rd
Mission Hills, CA 91345-1238
Phone (800) 378-5597

12276 Hesperia Rd
Victorville, CA 92395-5838

12370 Hesperia Rd
Suite 15
Victorville, CA 92395-5808
Phone (760) 553-7000

14860 Roscoe Blvd
Suite 101
Panorama City, CA 91402-4681
Phone (818) 616-6538

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 790-8950

1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

1918 W Beverly Blvd
Montebello, CA 90640-3957
Phone (323) 838-6800

211 N Prairie Ave
Suite E
Inglewood, CA 90301-1412
Phone (310) 672-9729

222 W Eulalia St
Glendale, CA 91204-2849
Phone (818) 502-2323

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

23115 Sherman PL
West Hills, CA 91307-2006
Phone (818) 251-9811

2336 Santa Monica Blvd
Suite 206
Santa Monica, CA 90404-2938
Phone (310) 315-1000

23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202

2428 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404-2046
Phone (310) 582-7900

25150 Hancock Ave
Suite 105
Murrieta, CA 92562-5988
Phone (951) 412-0228

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

25775 McBean Pkwy
Suite 100
Valencia, CA 91355-3702
Phone (661) 255-7627

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C168272CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 12, 2022 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jun 1, 2020 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 22, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 22, 2022 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology PastSince Jun 1, 2020 Accepting new patients

Locations (25 of 47)

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

2999 Regent St
Ste 225
Berkeley, CA 94705
Phone (510) 704-7760

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1467475442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST",
            "address_2": "STE 425",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105311",
            "telephone_number": "503-227-2400",
            "fax_number": "503-227-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-315-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-4032",
            "fax_number": "503-227-0218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAISI",
        "first_name": "WALEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C168272",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD23292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287280",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.