Edward A. Beron, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C27346 Issued in CA

Practice address

79970 Cedar CRST
La Quinta, CA 92253-5032

Phone

(760) 564-6383

Fax

(760) 564-6383

NPI assigned

Jul 18, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hni Medical Services of California, PC

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1154797041
  NPD (past)
• Oasis Radiology

  • Diagnostic Radiology Physician
  • Indio, CA
  • NPI 1699707174
  NPD (past)
• Palm Desert Radiology Medical Group, Inc

  dba Eisenhower Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Rancho Mirage, CA
  • NPI 1124079868
  NPD (past)
• Valley Central Imaging Inc

  • Diagnostic Radiology Physician
  • Hanford, CA
  • NPI 1144480773
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1669490553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80099",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168099",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79970 CEDAR CRST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535032",
            "telephone_number": "760-564-6383",
            "fax_number": "760-564-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERON",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C27346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C273460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00C273460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "P00374944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Becker, D.O.
• Angelica Paola Beltran-Renteria, LCSW
• Beltreria & Associates Licensed Clinical Social Worker, Apc
• Beneath the Surface Therapy
• Cory Joseph Berkeley, DPT
• Mary Berst, PHD, PSYCHOLOGIST
• Catherine Marie Bianchi, MD
• Danae Biddle
• Mary Biondin
• Andrew Patrick Black, RPH

• Diagnostic Radiology Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.