Peter Foldvary, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G32026 Issued in CA

Practice address

3715 South St
Long Beach, CA 90805

Phone

(310) 271-3390

NPI assigned

Jul 17, 2005

Reactivated

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1528067170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16580",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092580",
            "telephone_number": "310-271-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "310-271-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLDVARY",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2008-12-18",
        "deactivation_date": "2005-07-18",
        "reactivation_date": "2007-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G32026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G320261",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "ZZZ25745Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Flynn
• Faith Eva Fobbs, RRW
• Fobi Medical Group
• Jennifer Elizabeth Foe-Parker, M.D.
• Lordesa Fok, PT, DPT
• Elizabeth Ann Foley, MD
• Victoria M Foley, DPM
• Jeanette Masae Fong, MD
• Jennifer Keiko Fong
• Jennifer Y Fong, PHARMD

• Diagnostic Radiology Physician in Long Beach, CA
• Providers in Long Beach, 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 18, 2008; 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.