South Valley Radiology Medical Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC

Practice address

18344 Clark St
Suite 101
Tarzana, CA 91356-3505

Phone

(818) 881-9811

Fax

(818) 881-1638

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard Mark Gritz, MD

Title

President

Phone

(818) 726-6480

Specialties & licenses 2

Addresses

Other identifiers 9

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leroy S Clark, M.D.

  • Diagnostic Radiology Physician
  • Tarzana, CA
  • NPI 1982643508
  NPD (past)
• Ronald Homer, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Los Angeles, CA
  • NPI 1316982614

  Diagnostic Radiology

  NPD (past)
• Maxine S Jochelson, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558317677
  NPD (past)
• Cheung Kwok Tom Leung, M. D.

  • Cardiovascular Disease Physician
  • Gilroy, CA
  • NPI 1427083112
  NPD (past)
• Shawn T. Butela, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
  • NPI 1891734372
  NPD (past)
• Randy J Mound, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1932156064
  NPD (past)
• Scott Edward Yochim, M.D.

  • Diagnostic Radiology Physician
  • Bozeman, MT
  • NPI 1336341726
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1508813619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 1261",
            "address_2": "1801 W. OLYMPIC BOULEVARD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911990665",
            "telephone_number": "877-406-2916",
            "fax_number": "800-656-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18344 CLARK ST",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563505",
            "telephone_number": "818-881-9811",
            "fax_number": "818-881-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "GRITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-726-6480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65212Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65202Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65301Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092560",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092562",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80581Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65198Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65200Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65201Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Audiology Services
• South Valley Heart Center, Inc
• South Valley Imaging
• South Valley Internal Medicine a Medical Corporation
• South Valley Physician Group, Inc.
• South Valley Sleep Center, Inc.
• Southern California Audiology Associates, Inc
• Southern California Multi-Specialty Center Inc
• Maia Spak
• Clarice Spathias, DO

• Diagnostic Radiology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.