Individual provider Active NPI

Daniel Kirsch, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1689613408
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A70339 Issued in CA
Practice address
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone
(310) 264-9000
Fax
(310) 264-9004
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging Medical Associates Inc 93 clinicians
Tower Imaging Medical Group Inc 29 clinicians

Practice addresses (Care Compare)

1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814

2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

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
I20031124000826 CA Practitioner - Diagnostic Radiology 7315841939 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70339CAMDPharmacist
A70339CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2024 Accepting new patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2003 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 1, 2003 Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2024 Accepting new patients
Professional Imaging Medical Group Diagnostic Radiology Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Saint John'S Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

2143 S Sepulveda Blvd
Ste 300
Los Angeles, CA 90025
Phone (310) 445-0751

5455 Wilshire Blvd
Ste 1120
Los Angeles, CA 90036
Phone (312) 315-7718

5455 Wilshire Blvd
Ste 1100
Los Angeles, CA 90036
Phone (323) 549-3055

Dept LA 21559
Pasadena, CA 91185

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040

5215 Torrance Blvd
Ste 110
Torrance, CA 90503
Phone (310) 316-2424

23929 McBean Pkwy
Ste 109
Valencia, CA 91355
Phone (661) 253-8705

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A70339 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2202 Wilshire Blvd
Santa Monica, CA 90403-5706

Mailing address

Dept la 21559
Pasadena, CA 91185-2155
Phone (949) 263-8620

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00G703390OtherCABLUE SHIELD OF CA
00A703390MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2007.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1689613408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21559",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911852155",
            "telephone_number": "949-263-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035706",
            "telephone_number": "310-264-9000",
            "fax_number": "310-264-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A70339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF  CA",
            "identifier": "00G703390",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.