Individual provider Active NPI

Jane Dascalos, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1710159447
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A88728 Issued in CA
Practice address
1245 16TH St Ste 100
Santa Monica, CA 90404-1255
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
Apr 2, 2008
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 A88728 CA Primary

Addresses

Primary practice location

1245 16TH St Ste 100
Santa Monica, CA 90404-1255

Mailing address

5767 W Century Blvd
Los Angeles, CA 90045-5631

Other practice location 1

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8400

Other practice location 2

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

Other practice location 3

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

Other practice location 4

200 Ucla Medical Plz Ste B165
Los Angeles, CA 90095-2001
Phone (310) 301-6800

Other practice location 5

23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (818) 876-1050

Other practice location 6

335 N La Brea Ave
Los Angeles, CA 90036-2517
Phone (323) 634-3850

Other identifiers 3

IdentifierTypeStateIssuer
00A887280OtherCABLUE SHIELD
00A887280MedicaidCA
1710159447MedicaidCA

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
I20080614000058 CA Practitioner - Diagnostic Radiology 1153492400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

1250 16TH St
Santa Monica, CA 90404-1249
Phone (424) 259-6000

1260 15TH St
Suite 111
Santa Monica, CA 90404-1136
Phone (310) 393-5153

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

30700 Russell Ranch Rd
Suite 110
Westlake Village, CA 91362-9500
Phone (818) 661-6570

4323 Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

700 W 7TH St
Suite S270 D
Los Angeles, CA 90017-3768
Phone (213) 988-8339

7325 Medical Ctr Dr
Suite 106
West Hills, CA 91307-4109
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88728CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 1, 2014 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 18, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 18, 2018 Accepting new patients
Regents of the University of California CurrentSince Sep 6, 2020 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology CurrentSince Oct 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2014 Accepting new patients
Tower Imaging Medical Group, Inc Diagnostic Radiology PastSince Feb 22, 2014 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology Past Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Saint John Hospital, Inc Past Accepting new patients
Saint John's Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Tower Imaging Medical Centers, Inc. Diagnostic Radiology Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

5767 W Century Blvd
Los Angeles, CA 90045

5767 W Century Blvd
#400
Los Angeles, CA 90045

File 59755
Los Angeles, CA 90074

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 802-0200

1245 16th St
Ste 100
Santa Monica, CA 90404

1245 16th St
Ste 105
Santa Monica, CA 90404
Phone (310) 319-3489

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

23388 Mulholland Dr
Woodland Hls, CA 91364
Phone (818) 876-1050

Interoperability endpoints

  • Direct secure messaging: jdascalos399066@direct.uclahealth.org

Organizations & group practices 16

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 16

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1710159447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 16TH ST STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041255",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23845 McBean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913552001",
            "country_code": "US",
            "telephone_number": "661-253-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 W Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054044",
            "country_code": "US",
            "telephone_number": "818-556-2700",
            "fax_number": "818-295-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662910",
            "country_code": "US",
            "telephone_number": "310-802-0200",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ucla Medical Plz Ste B165",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900952001",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23388 Mulholland Dr",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913642733",
            "country_code": "US",
            "telephone_number": "818-876-1050",
            "fax_number": "818-876-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 N La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900362517",
            "country_code": "US",
            "telephone_number": "323-634-3850",
            "fax_number": "323-938-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASCALOS",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A88728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A887280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A887280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710159447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.