Individual provider Active NPI

David Ishimitsu, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1497919641
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A99383 Issued in CA
Practice address
8700 Beverly Blvd
Taper M335
Los Angeles, CA 90048
Phone
(310) 423-3419
Fax
(310) 423-8335
NPI assigned
Jul 17, 2008
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101289298 VA
Diagnostic Radiology Physician 2085R0202X 036.154783 IL
Diagnostic Radiology Physician 2085R0202X A99383 CA Primary
Diagnostic Radiology Physician 2085R0202X C1-0025748 DE

Addresses

Primary practice location

8700 Beverly Blvd
Taper M335
Los Angeles, CA 90048

Mailing address

8700 Beverly Blvd
Taper M335
Los Angeles, CA 90048
Phone (310) 423-3419

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1840

Other practice location 2

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, NY, TX, IL, WA, AZ, MI, DE9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20120330000202 CA Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 19 organizations
I20200818002800 NM Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 2 organizations
I20200911001470 NY Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 3 organizations
I20200924002219 TX Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 13 organizations
I20210220000157 IL Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 7 organizations
I20211005003559 WA Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 1 organization
I20221115000982 AZ Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 2 organizations
I20240729001052 MI Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 1 organization
I20240827000190 DE Practitioner - Diagnostic Radiology 3173783057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Hawaii John a. Burns School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Ochiltree Hospital DistrictGroup PAC ID 0749257723, shared by 7 NPIs, 15 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90038
Phone (903) 663-4800

Los Angeles, CA 90048
Phone (800) 841-4236

Los Angeles, CA 90067
Phone (951) 786-0801

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

2170 Century Park E
Los Angeles, CA 90067-2243
Phone (213) 247-7251

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4606 Rockland PL
La Canada, CA 91011-1428
Phone (559) 256-1975

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

8391 Beverly Blvd
Unit 264
Los Angeles, CA 90048-2633
Phone (610) 892-8889

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304630NYMDLicensed Practical Nurse
A99383CAMDDiagnostic Radiology Physician
C1-0025748DEMDDiagnostic Radiology Physician
036.154783ILMDDiagnostic Radiology Physician
0101289298VAMDDiagnostic Radiology Physician

Practice roles (60 of 75)

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Sep 24, 2020 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Jul 1, 2025 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 28, 2020 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Apr 15, 2022 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 30, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 28, 2021 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 9, 2023 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 30, 2024 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
El Paso County Hospital District Family Medicine CurrentSince Nov 17, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 16, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince May 25, 2020 Accepting new patients
Laguna Healthcare Corporation CurrentSince Feb 22, 2021 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Freeport Memorial Hospital CurrentSince May 1, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine CurrentSince Jul 12, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jun 28, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 16, 2020 Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 1, 2021 Accepting new patients
Nor-Lea Hospital District CurrentSince Jun 15, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 28, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Nov 16, 2023 Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Oct 31, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Nov 17, 2023 Accepting new patients
La Paz Regional Hospital, Inc. CurrentSince Jun 29, 2022 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2025 Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology CurrentSince Mar 21, 2020 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Kayenta Alternative Rural Hospital Current Accepting new patients
Humboldt Park Health Family Medicine CurrentSince Oct 4, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 16, 2020 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Apr 15, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 30, 2024 Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 12, 2024 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince Jun 2, 2020 Accepting new patients
Nor-Lea Hospital District CurrentSince Jun 15, 2023 Accepting new patients

Locations (25 of 72)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

8391 Beverly Blvd
#264
Los Angeles, CA 90048

8391 Beverly Blvd
Unit 264
Los Angeles, CA 90048
Phone (213) 247-7251

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

640 S State St
Dover, DE 19901
Phone (302) 744-4700

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

401 N Carter Rd
Smyrna, DE 19977
Phone (302) 653-2010

Carol Stream, IL 60122

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2741 Paysphere Cir
Chicago, IL 60674

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

4748 Reliable Pkwy
Chicago, IL 60686

8175 Reliable Pkwy
Chicago, IL 60686

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dishimitsu1123269@direct.llu.edu

Organizations & group practices 78

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 78

Hospital & facility affiliations 6

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1497919641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "TAPER M335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-3419",
            "fax_number": "310-423-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "TAPER M335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-3419",
            "fax_number": "310-423-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "fax_number": "815-968-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHIMITSU",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289298",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.154783",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A99383",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.