Individual provider Active NPI

James Allen Engelhart, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1649222480
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G56010 Issued in CA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1649222480MedicaidCA
13468OtherNVNEVADA STATE BOARD OF MEDICAL EXAMINERS
P01170380OtherCARAILROAD
806331500MedicaidID

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
I20130102000205 CA Practitioner - Diagnostic Radiology 7911952247 Reassigns benefits to 13 organizations

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
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Radnet Medical Imaging-San FranciscoGroup PAC ID 9830283761, 35 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

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 100Reported as group
Quality
62.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
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

LicenseStateTypeSpecialty
M8538IDMDNeuroradiology Physician
G56010CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jun 9, 2015 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jun 9, 2015 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 12, 2017 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Feb 5, 2014 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 10, 2018 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 15, 2017 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 13, 2013 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 1, 2013 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 15, 2017 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 15, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Boise Advanced Imaging PLLC Neuroradiology PastSince Apr 30, 2003 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 PastSince Oct 1, 2008 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.

View all 20

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

Verify at the official NPI Registry.