NPIMap

Organization Active NPI

Cedars-Sinai Imaging Medical Group a Professional Corporation

  • Diagnostic Radiology Physician
  • Rancho Mirage, CA
National Provider Identifier
1669909529
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CEDARS-SINAI IMAGING MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
19 Lafayette Dr
Rancho Mirage, CA 92270-3725
Phone
(559) 455-4109
NPI assigned
May 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Barry D Pressman, AUTHORIZED SIGNER
Title
President, Cfo, Ceo
Phone
(310) 423-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

19 Lafayette Dr
Rancho Mirage, CA 92270-3725

Mailing address

PO Box 607
Newbury Park, CA 91319-0607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118001070 CA Part B Supplier - Clinic/Group Practice 4981518313 Receives reassigned benefits from 73 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; West Hollywood, CA; Tarzana, CA; Rancho Mirage, CA; Beverly Hills, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1669909529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAFAYETTE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703725",
            "telephone_number": "559-455-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS-SINAI IMAGING MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "PRESSMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, CFO, CEO",
        "authorized_official_telephone_number": "310-423-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUTHORIZED SIGNER"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.