Organization Active NPI

Lambert Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Whittier, CA
National Provider Identifier
1609826684
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G41618 Issued in CA
Legal business name
LAMBERT RADIOLOGY MEDICAL GROUP, INC
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 698-0811
NPI assigned
May 11, 2006
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
William S M Shanahan, M.D.NPI 1013991116
Title
President
Phone
(562) 698-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G41618 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

11721 Whittier Blvd
Suite 509
Whittier, CA 90601-3939
Phone (562) 698-0811

Other identifiers 1

IdentifierTypeStateIssuer
BUSINESS LICENSEOtherCA68063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, MA, NV, IL, FL, MI, IN, OH, DC, TX, MN, OR, MD, NM15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20060905000303 CA Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 87 practitioners
O20231019000348 HI Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI
O20241030000233 MA Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Northborough, MA
O20241119002985 NV Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20250124002894 IL Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL
O20250702001122 FL Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Saint Petersburg, FL
O20250711000885 MI Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI
O20250724001545 IN Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Muncie, IN
O20250730003602 OH Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Maumee, OH
O20250807000289 DC Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA
O20250904001670 TX Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX
O20250910001029 MN Part B Supplier - Clinic/Group Practice 8224032271 Practice locations: Rochester, MN
O20250912003121 OR Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20260112001232 MD Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD
O20260318001001 NM Part B Supplier - Clinic/Group Practice 8224032271 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

10409 Lakewood Blvd
Unit 39007
Downey, CA 90239

1200 S Brand Blvd
Ste 188
Glendale, CA 91204
Phone (615) 378-8896

757 Westwood Plz
Ste 1638
Los Angeles, CA 90095
Phone (310) 267-8796

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

Practitioners & affiliated clinicians

Practitioners 198

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 198

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1609826684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 WHITTIER BLVD",
            "address_2": "SUITE 509",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013939",
            "telephone_number": "562-698-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBERT RADIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-698-0811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G41618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "68063",
            "identifier": "BUSINESS LICENSE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.