Thomas Andrew Herbold, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A72292 Issued in CA

Practice address

16661 Ventura Blvd Ste 100
Encino, CA 91436-1922

Phone

(818) 986-3472

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

University of Arizona College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Imaging Center, Inc.Group PAC ID 6406808427, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Imaging Center, Inc.

  • Diagnostic Radiology Physician
  • Lancaster, CA
  • NPI 1467638064
  Medicare reassignment Care Compare group
• Warner Diagnostic a Medical Corporation

  • Radiology Clinic/Center
  • Woodland Hills, CA
  • NPI 1558695585
  NPD (past) Authorized official
• Radiology Disc of Encino, Inc.

  • Radiology Clinic/Center
  • Encino, CA
  • NPI 1114019973
  NPD
• Advanced Imaging Center Inc

  • Radiology Clinic/Center
  • Lancaster, CA
  • NPI 1164483525
  NPD (past)
• Community Imaging Medical Group Inc

  • Diagnostic Radiology Physician
  • Ventura, CA
  • NPI 1639125628
  NPD (past)
• Precise MRI Corp.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1306049671
  NPD (past)
• Udkoff Medical Imaging Corporation

  • Diagnostic Radiology Physician
  • Westlake Village, CA
  • NPI 1306085949
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1740358738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472",
            "fax_number": "818-670-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBOLD",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A72292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Hendricks
• Amanda Henriques
• Christine Jones Henry, M.A., ATR, LMFT
• Shaniqua Henry, LMSW
• Herbalogics, Inc.
• Marco Antonio Hernandez Mora
• Anthony B Hernandez
• Carlos Mauricio Hernandez
• Carolina Hernandez
• Cindy Hernandez

• Diagnostic Radiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.