Individual provider Active NPI

Penny Roumanis Johnson, MD

  • Diagnostic Radiology Physician
  • Downey, CA
National Provider Identifier
1497942106
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A121083 Issued in CA
Practice address
11411 Brookshire Ave Ste 101
Downey, CA 90241-5008
Phone
(562) 869-9192
NPI assigned
Sep 26, 2007
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 A121083 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave Ste 101
Downey, CA 90241-5008

Mailing address

1762 Westwood Blvd Ste 230
Los Angeles, CA 90024-5648
Phone (310) 943-8400

Other identifiers 1

IdentifierTypeStateIssuer
A121083OtherCACALIFORNIA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130103000167 CA Practitioner - Diagnostic Radiology 3577716372 Reassigns benefits to 7 organizations
I20220831001535 MI Practitioner - Diagnostic Radiology 3577716372 Reassigns benefits to 1 organization
I20221212000028 NJ Practitioner - Diagnostic Radiology 3577716372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1127 Wilshire Blvd
Suite 100
Los Angeles, CA 90017-3902
Phone (213) 202-5785

11411 Brookshire Ave
Suite 101
Downey, CA 90241-5008
Phone (562) 923-5521

12665 Garden Grove Blvd
Suite 103
Garden Grove, CA 92843-1915
Phone (714) 620-8200

15825 Laguna Canyon Rd
Suite 101
Irvine, CA 92618-2126
Phone (949) 777-9000

18250 Roscoe Blvd
Suite 135
Northridge, CA 91325-4263
Phone (818) 701-7111

3513 Whittier Blvd
Los Angeles, CA 90023-1765
Phone (323) 262-1814

4316 Slauson Ave
Maywood, CA 90270-2838
Phone (323) 771-9867

701 E 28TH St
Suite 318
Long Beach, CA 90806-2785
Phone (562) 426-7000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 12, 2022 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jun 10, 2022 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Sep 3, 2013 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 15, 2022 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Sep 3, 2013 Accepting new patients
Hurley Medical Center CurrentSince Jul 10, 2022 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 2, 2022 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jul 10, 2022 Accepting new patients
Hurley Medical Center Current Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations (25 of 26)

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500

12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

6310 San Vicente Blvd
Ste 102
Los Angeles, CA 90048
Phone (323) 556-3000

3737 Martin Luther King Jr Blvd
Ste 104
Lynwood, CA 90262
Phone (310) 667-4999

24036 Lyons Ave
Ste Radiology
Newhall, CA 91321

18250 Roscoe Blvd
Ste 135
Northridge, CA 91325
Phone (818) 701-7111

800 N Tustin Ave
Ste M
Santa Ana, CA 92705
Phone (714) 285-0747

1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314

3640 Lomita Blvd
Ste 105
Torrance, CA 90505
Phone (310) 375-8088

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Organizations & group practices 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1497942106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 WESTWOOD BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245648",
            "telephone_number": "310-943-8400",
            "fax_number": "310-923-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE STE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415008",
            "telephone_number": "562-869-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PENNY",
        "middle_name": "ROUMANIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A121083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A121083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.