Active NPI
Anil Wadhwani, MD
- Diagnostic Radiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A78980
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A789800 | Other | CA | BLUE SHIELD OF CA |
| 00A789800 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Northridge Hospital Medical Center
- Providence Saint Joseph Medical Ctr
- Glendale Mem Hospital & HLTH Center
- Valley Presbyterian Hospital
- St Mary Medical Center
- Northridge Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
HI
-
- Radiology Clinic/Center
- Mountain View, CA
- NPI 1629265806
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Palm Springs, CA
- NPI 1558539130
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.