Active NPI
George Keith Edwards, M.D.
- Nuclear Medicine Physician
- Santa Monica, CA
National Provider Identifier
1538125489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- G59625
- Practice address
- 1328 22ND St
Department of Nuclear Medicine
Santa Monica, CA 90404-2032 - Phone
- (310) 829-8229
- Fax
- (310) 449-9136
- NPI assigned
- Apr 20, 2006
- Last updated
- May 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | G59625 | CA | Primary |
Addresses
Primary practice location
1328 22ND St
Department of Nuclear Medicine
Santa Monica, CA 90404-2032
Mailing address
PO Box 48904
Los Angeles, CA 90048-0904
Phone (310) 449-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G596250 | Medicaid | CA | |
| 00G596250 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging Medical Group, Inc | Past | Accepting new patients | |
| Saint John's Tower Imaging Medical Group, Inc. | Past | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Past | Accepting new patients | |
| CMG Clinical Laboratory and Ancillary Services, Inc. | Nuclear Medicine | Past | Accepting new patients |
| G.P.Edwards M.D. | Nuclear Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Nuclear Medicine Physician
- Santa Monica, CA
- NPI 1598708240
-
- Nuclear Medicine Physician
- Santa Monica, CA
- NPI 1770603565
-
- Nuclear Medicine Physician
- Pomona, CA
- NPI 1497809297
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1356396782
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1013962067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1538125489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48904",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900480904",
"telephone_number": "310-449-1188",
"fax_number": "310-449-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 22ND ST",
"address_2": "DEPARTMENT OF NUCLEAR MEDICINE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042032",
"telephone_number": "310-829-8229",
"fax_number": "310-449-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "GEORGE",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G59625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G596250",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G596250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Edward Allan DDS & Associates, Inc. (Altair Dental Center Dental Office of Edward Allan DDS & Ass., Inc.)
- Edward H Yamoah MD Inc
- Edward J. O'Connor, MD, Inc.
- Bruce W Edwards
- Emily Lilian Edwards, MD
- John David Edwards Jr., M.D
- Meredith Edwards, LMFT
- Raulena Edwards
- Richard Leon Edwards IV, D.D.S
- Edwin C. Amos, MD, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.