Individual provider Active NPI

Jerrold Mink, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
National Provider Identifier
1619925971
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G22691 Issued in CA
Practice address
8670 Wilshire Blvd Ste 101
Beverly Hills, CA 90211-2930
Phone
(310) 358-2100
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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 G22691 CA Primary

Addresses

Primary practice location

8670 Wilshire Blvd Ste 101
Beverly Hills, CA 90211-2930

Mailing address

PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940

Other identifiers 1

IdentifierTypeStateIssuer
00G226910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000733 CA Practitioner - Diagnostic Radiology 3375437445 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Practice addresses (Care Compare)

8670 Wilshire Blvd
Suite 101
Beverly Hills, CA 90211-2930
Phone (310) 358-2100

8710 Monroe CT
Suite 100
Rancho Cucamonga, CA 91730-4884
Phone (909) 581-6480

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G22691CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 8, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 1, 2010 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 15, 2023 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Dec 8, 2025 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 1, 2004 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Electronic Orthopedic Imaging Medical Associates, Inc. Diagnostic Radiology PastSince Mar 1, 2007 Accepting new patients

Locations (25 of 65)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

465 N Roxbury Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 854-7722

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

501 S Buena Vista St
Ste 1N
Burbank, CA 91505

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

1037 N Grand Ave
Covina, CA 91724

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

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

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

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1619925971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112930",
            "telephone_number": "310-358-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "JERROLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G22691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G226910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.