Active NPI
James Allen Engelhart, MD
- Diagnostic Radiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G56010
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- Fax
- (775) 785-8731
- NPI assigned
- May 17, 2006
- Last updated
- Feb 5, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | M8538 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | M8538 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | G56010 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
2200 N Mayfair Rd
Suite 200
Wauwatosa, WI 53226-2252
Phone (414) 258-9511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649222480 | Medicaid | CA | |
| 13468 | Other | NV | NEVADA STATE BOARD OF MEDICAL EXAMINERS |
| P01170380 | Other | CA | RAILROAD |
| 806331500 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 La Casa Via
Suite 100
Walnut Creek, CA 94598-3044
Phone (925) 937-6100
1239 McHenry Ave
Suite a
Modesto, CA 95350-5330
Phone (209) 491-5200
157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800
1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474
2320 N California St
Stockton, CA 95204-5506
Phone (209) 466-2000
3440 California St
San Francisco, CA 94118-1837
Phone (415) 922-6767
79 Scripps Dr
Suite 100
Sacramento, CA 95825-6208
Phone (916) 921-1300
7911 Laguna Blvd
Elk Grove, CA 95758-7920
Phone (916) 478-3710
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 62.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8538 | ID | MD | Neuroradiology Physician |
| G56010 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Fresno Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Boise Advanced Imaging PLLC | Neuroradiology | Past | Accepting new patients |
| Ramic Federal Way, LLC | Past | Accepting new patients | |
| Imaging Medical Associates, of San Diego, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Elko Diagnostic Imaging LLC | Past | Accepting new patients | |
| Golding Radiology, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Open MRI of Federal Way, L.L.C. | Past | Accepting new patients | |
| Pco PC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 33)
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
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
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
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
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
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800
25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230
3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014
72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420
2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980
5924 Stoneridge Dr
Ste 105
Pleasanton, CA 94588
Phone (925) 463-0554
79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
dba Modesto Advanced Diag Imaging Medical Center
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1548345382
-
- Diagnostic Radiology Physician
- Stockton, CA
- NPI 1356538201
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1659456499
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1689890444
-
dba Anaheim Advanced Imaging
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1972826774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1649222480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N MAYFAIR RD",
"address_2": "SUITE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262252",
"telephone_number": "414-258-9511",
"fax_number": "414-607-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000",
"fax_number": "775-785-8731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHART",
"first_name": "JAMES",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "ID",
"license": "M8538",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M8538",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G56010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649222480",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS",
"identifier": "13468",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01170380",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806331500",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.