Individual provider Active NPI

Justin L McCoy, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
National Provider Identifier
1508912403
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C178579 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone
(562) 933-1550
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 C178579 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1701

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1550

Other practice location 1

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2613

Other practice location 2

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Other practice location 3

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 4

3330 NW 56th
Suite 206
Okla City, OK 73112-4426
Phone (405) 945-4710

Other practice location 5

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 935-1000

Other practice location 6

4301 W Markham St # 553
Little Rock, AR 72205-7101
Phone (501) 296-1095

Other identifiers 2

IdentifierTypeStateIssuer
P00964010OtherOKMEDICARE RAILROAD
200116330AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NJ, HI, CA, AR, TX, PA, IL, NV, TN10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20070615000231 OK Practitioner - Diagnostic RadiologyPractitioner - OtolaryngologyPractitioner - Emergency MedicinePractitioner - Interventional Radiology 6800995812 Reassigns benefits to 21 organizations
I20221025000186 NJ Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 4 organizations
I20230206001511 HI Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 2 organizations
I20230330001039 CA Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 9 organizations
I20230424002161 AR Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 5 organizations
I20240709003464 TX Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 1 organization
I20250410002107 PA Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 1 organization
I20250418000477 IL Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 1 organization
I20250619002335 NV Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 1 organization
I20260602004160 TN Practitioner - Diagnostic Radiology 6800995812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Otolaryngology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of Wichita Falls PAGroup PAC ID 7911007851, 54 clinicians
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Radiologists PAGroup PAC ID 9830140607, 20 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians
Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians
Butler Imaging and Interventional Associates LLCGroup PAC ID 8426115478, 43 clinicians
Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians
Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians
Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians
X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians
Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians
Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

Tulsa, OK 74114
Phone (940) 766-0217

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1501 S Waldron Rd
Suite 109
Fort Smith, AR 72903-2568
Phone (479) 474-1616

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

155 Bridgeton Pike
Suite C
Mullica Hill, NJ 08062-2639
Phone (856) 994-0005

2247 S Delaware PL
Tulsa, OK 74114-3110
Phone (530) 626-2613

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

2624 Ridgeway Cir
Jones, OK 73049-4971
Phone (502) 895-5405

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

55 Meadowlands Pkwy
Suite 200
Secaucus, NJ 07094-2977
Phone (201) 392-3100

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416

808 Brook Ave
Wichita Falls, TX 76301-4209
Phone (940) 766-0217

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
  • Mercy Hospital Ozark Hospital, Ozark, AR, CCN 041303

National Provider Directory

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

Practice roles (60 of 71)

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2023 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Jul 27, 2024 Accepting new patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Valley Physician Services PC CurrentSince Feb 18, 2025 Accepting new patients
County of Santa Clara Emergency Medicine Current Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 11, 2025 Accepting new patients
University of Arkansas for Medical Sciences Emergency Medicine Current Accepting new patients
Oklahoma Radiology Group P C Diagnostic Radiology CurrentSince Jan 11, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 19, 2024 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
University of Arkansas for Medical Sciences Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
County of Monterey CurrentSince Dec 24, 2022 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Universal Radiology Partners of Nevada LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Apr 2, 2025 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Feb 6, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Contemporary Diagnostic Imaging, LLC CurrentSince Jun 15, 2022 Accepting new patients
County of Monterey Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
County of Santa Clara CurrentSince Jan 30, 2024 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 6, 2025 Accepting new patients
Capital Health Multispecialty Group Emergency Medicine CurrentSince Sep 9, 2025 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Jan 30, 2024 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Radiology Associates of Wichita Falls PA Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Mar 7, 2025 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Placerville Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 15, 2023 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Lompoc Valley Medical Center CurrentSince Aug 16, 2025 Accepting new patients
Rockford Radiology Assoc Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince Sep 21, 2024 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
County of Monterey Behavioral Health CurrentSince Dec 24, 2022 Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Prime Radiology Consultants P.C. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 30, 2024 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jan 4, 2023 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2025 Accepting new patients
McAlester Regional Health Center Authority Current Accepting new patients
County of Santa Clara CurrentSince Jan 30, 2024 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations (25 of 95)

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#553
Little Rock, AR 72205
Phone (501) 296-1095

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

955 W Imperial Hwy
Brea, CA 92821
Phone (714) 449-6900

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1835 Sunny Crest Dr
Fullerton, CA 92835
Phone (714) 446-5101

2151 N Harbor Blvd
Ste 1400
Fullerton, CA 92835
Phone (417) 446-5600

2151 N Harbor Blvd
Ste 2100
Fullerton, CA 92835
Phone (714) 446-7181

100 E Valencia Mesa Dr
Ste 108
Fullerton, CA 92835

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: justin.mccoy@direct.mrhcok.com
  • Direct secure messaging: jmccoy906375@direct.memorialcare.org
  • Direct secure messaging: justin.mccoy.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: jmccoy192216@santaclaravalley.direct-ci.net
  • Direct secure messaging: jmccoy151497@direct.whhs.com

Organizations & group practices 135

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 135

Hospital & facility affiliations 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1508912403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Marshall Way",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956676533",
            "country_code": "US",
            "telephone_number": "530-626-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 NW 56th",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Okla City",
            "state": "OK",
            "postal_code": "731124426",
            "country_code": "US",
            "telephone_number": "405-945-4710",
            "fax_number": "405-562-9242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 553",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-296-1095",
            "fax_number": "501-526-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C178579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00964010",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116330A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.