Individual provider Active NPI

Vijay B Venkatesh, MD

  • Diagnostic Radiology Physician
  • La Mesa, CA
National Provider Identifier
1689627085
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A94476 Issued in CA
Practice address
8881 Fletcher Parkway
#102
La Mesa, CA 91942
Phone
(619) 461-1830
Fax
(619) 797-1484
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A94476 CA Primary

Addresses

Primary practice location

8881 Fletcher Parkway
#102
La Mesa, CA 91942

Mailing address

7777 Alvarado Rd
#108
La Mesa, CA 91942
Phone (619) 460-2770

Other identifiers 2

IdentifierTypeStateIssuer
00A944760MedicaidCA
00A944760OtherCABLUE SHIELD PIN

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
I20060810000587 CA Practitioner - Diagnostic Radiology 6800899865 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
North County Radiology Associates IncGroup PAC ID 0840630208, 16 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

1080 N Indian Canyon Dr
Suite 104
Palm Springs, CA 92262-4870
Phone (760) 322-3036

11447 Maple Leaf CT
San Diego, CA 92131-4284
Phone (858) 658-6500

11525 Brookshire Ave
Suite 111
Downey, CA 90241-4982
Phone (562) 904-1111

12276 Hesperia Rd
Victorville, CA 92395-5838

14860 Roscoe Blvd
Suite 101
Panorama City, CA 91402-4681
Phone (818) 616-6538

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

17762 Beach Blvd
Suite 110
Huntington Beach, CA 92647-6860
Phone (585) 218-8007

1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

1901 Outlet Ctr Dr
Suite 120
Oxnard, CA 93036-0664
Phone (805) 357-0067

1918 W Beverly Blvd
Montebello, CA 90640-3957
Phone (323) 838-6800

1955 Citracado Pkwy
Suite 100
Escondido, CA 92029-4111
Phone (760) 940-4055

19950 Rinaldi St
Suite 101B C
Porter Ranch, CA 91326-4141
Phone (800) 378-5597

2001 Solar Dr
Suite 135
Oxnard, CA 93036-0635
Phone (805) 988-0616

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

25150 Hancock Ave
Suite 105
Murrieta, CA 92562-5988
Phone (951) 412-0228

25775 McBean Pkwy
Suite 100
Valencia, CA 91355-3702
Phone (661) 255-7627

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462

26357 McBean Pkwy
Suite 155
Santa Clarita, CA 91355-4494
Phone (800) 378-5597

2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333

2705 Loma Vista Rd
Suite 100
Ventura, CA 93003-1595
Phone (805) 988-0616

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
73.69
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
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94476CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Sep 28, 2024 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 29, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 21, 2024 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 21, 2024 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 30, 2024 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 29, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2006 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
North County Radiology Associates Inc CurrentSince Feb 12, 2024 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 30, 2024 Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 46)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 322-9958

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

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 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2130 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (858) 485-1111

1955 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (760) 743-3873

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

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

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8881 Fletcher Pkwy
Ste 102
La Mesa, CA 91942
Phone (619) 461-1830

5565 Grossmont Center Dr
Ste 1
La Mesa, CA 91942
Phone (619) 463-4486

7777 Alvarado Rd
Ste 108
La Mesa, CA 91942
Phone 6194602770 ext. 303

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

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1689627085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD",
            "address_2": "#108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-2770",
            "fax_number": "619-460-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY",
            "address_2": "#102",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-461-1830",
            "fax_number": "619-797-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "VIJAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A94476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A944760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A944760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.