Individual provider Active NPI

Christopher Molloy, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1639426935
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A140848 Issued in CA
Practice address
4733 W Sunset Blvd
3Rd Floor
Los Angeles, CA 90027-6021
Phone
(949) 683-4037
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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 A140848 CA Primary

Addresses

Primary practice location

4733 W Sunset Blvd
3Rd Floor
Los Angeles, CA 90027-6021

Mailing address

4733 W Sunset Blvd
3Rd Floor
Los Angeles, CA 90027-6021
Phone (949) 683-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MT2 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
I20190719001737 MA Practitioner - Diagnostic Radiology 2860785417 Reassigns benefits to 2 organizations
I20200831000580 MT Practitioner - Diagnostic Radiology 2860785417 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians
Northwest Imaging, PCGroup PAC ID 8426969155, 18 clinicians

Practice addresses (Care Compare)

107 6TH Ave SW
St Lukes Comm Con CR
Ronan, MT 59864-2634
Phone (406) 676-4441

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6488

640 W Park Dr
Shelby, MT 59474-1663
Phone (406) 751-7519

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
  • Clark Fork Valley Hospital Hospital, Plains, MT, CCN 271323
  • Pondera Medical Center Hospital, Conrad, MT, CCN 271324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104848CAMDPediatric Dentist
A140848CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Rockies Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2025 Accepting new patients
Logan Health - Conrad Current Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Nov 1, 2021 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Nov 1, 2021 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Logan Health - Shelby Current Accepting new patients
St Lukes Community Hospital CurrentSince Jun 23, 2021 Accepting new patients
St Lukes Community Hospital CurrentSince Jun 23, 2021 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Apr 1, 2025 Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Northwest Imaging, PC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

160 Heritage Way
Ste 202
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 11

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1639426935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 W SUNSET BLVD",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276021",
            "telephone_number": "949-683-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 W SUNSET BLVD",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276021",
            "telephone_number": "949-683-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A140848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.