Organization Active NPI

Agape Medical Group West PC

  • Diagnostic Ultrasound Physician
  • Beverly Hills, CA
National Provider Identifier
1689585663
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
AGAPE MEDICAL GROUP WEST PC
Practice address
9720 Wilshire Blvd
Beverly Hills, CA 90212-2021
Phone
(310) 466-0490
Fax
(323) 524-1691
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Bailey Renger
Title
Organization Administrator
Phone
(973) 943-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

9720 Wilshire Blvd
Beverly Hills, CA 90212-2021

Mailing address

1301 N Broadway Ste 32260
Los Angeles, CA 90012-1408
Phone (310) 466-0490

National Provider Directory

National Provider Directory
Tax ID family
Agape Medical Group West PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1689585663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N BROADWAY STE 32260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121408",
            "telephone_number": "310-466-0490",
            "fax_number": "323-524-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122021",
            "telephone_number": "310-466-0490",
            "fax_number": "323-524-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MEDICAL GROUP WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "RENGER",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "ORGANIZATION ADMINISTRATOR",
        "authorized_official_telephone_number": "973-943-0967"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.