Individual provider Active NPI

Anil Wadhwani, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1609821057
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A78980 Issued in CA
Practice address
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone
(310) 264-9000
Fax
(310) 264-9004
NPI assigned
May 24, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 A78980 CA Primary

Addresses

Primary practice location

2202 Wilshire Blvd
Santa Monica, CA 90403-5706

Mailing address

Dept la 21559
Pasadena, CA 91185-1559
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00A789800OtherCABLUE SHIELD OF CA
00A789800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000789 CA Practitioner - Diagnostic Radiology 8022912740 Reassigns benefits to 3 organizations
I20180926003780 HI Practitioner - Diagnostic Radiology 8022912740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Practice addresses (Care Compare)

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (818) 639-2901

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 639-2901

18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 639-2901

317 N Palm Dr
Apt 4C
Beverly Hills, CA 90210-5800
Phone (818) 639-2901

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

9804 Cardigan PL
Beverly Hills, CA 90210-1002
Phone (818) 639-2901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 2, 2023 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Dec 28, 2009 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients

Locations (25 of 29)

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

47111 Monroe St
#1112
Indio, CA 92201

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950

301 Science Dr
Ste 150
Moorpark, CA 93021
Phone (805) 855-7000

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

14860 Roscoe Blvd
Ste 100
Panorama City, CA 91402
Phone (818) 904-0543

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 4

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.

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1609821057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21559",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851559",
            "telephone_number": "949-263-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035706",
            "telephone_number": "310-264-9000",
            "fax_number": "310-264-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWANI",
        "first_name": "ANIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A78980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A789800",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A789800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.