Individual provider Active NPI

Katharine Tansavatdi, M.D.

  • Diagnostic Radiology Physician
  • West Covina, CA
National Provider Identifier
1518004373
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A98404 Issued in CA
Practice address
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone
(626) 814-2473
Fax
(626) 814-2540
NPI assigned
Jan 31, 2007
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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 A98404 CA Primary
Diagnostic Radiology Physician 2085R0202X 340389 NY

Addresses

Primary practice location

1115 S Sunset Ave
West Covina, CA 91790-3940

Mailing address

PO Box 635
West Covina, CA 91793-0635
Phone (626) 813-9988

Other practice location 1

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 554-9472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN, MO3 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
I20120709000479 CA Practitioner - Diagnostic Radiology 0143353300 Reassigns benefits to 3 organizations
I20170728003152 TN Practitioner - Diagnostic Radiology 0143353300 Reassigns benefits to 1 organization
I20260501002842 MO Practitioner - Diagnostic Radiology 0143353300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Aug 31, 2016 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 1, 2018 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Orthopaedic Center of Southern Illinois, LTD. Past Accepting new patients
Emergeortho PA Past Accepting new patients
Cambridge Health Alliance Past Accepting new patients
Crown Valley Radiologist PastSince Feb 16, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Jan 1, 2018 Accepting new patients
Wave Imaging LLC PastSince Jun 3, 2016 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

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

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

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

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1518004373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917930635",
            "telephone_number": "626-813-9988",
            "fax_number": "626-813-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-814-2473",
            "fax_number": "626-814-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 S Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652017199",
            "country_code": "US",
            "telephone_number": "573-554-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANSAVATDI",
        "first_name": "KATHARINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A98404",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "340389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.