Individual provider Active NPI

George Keith Edwards, M.D.

  • Nuclear Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1538125489
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
G59625 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G596250MedicaidCA
00G596250OtherCABLUE 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

OrganizationSpecialtyStatusNew 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. PastSince Sep 8, 2025 Accepting new patients
CMG Clinical Laboratory and Ancillary Services, Inc. Nuclear Medicine PastSince Apr 30, 2003 Accepting new patients
G.P.Edwards M.D. Nuclear Medicine PastSince Jan 1, 1990 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.

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

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.

Verify at the official NPI Registry.