Individual provider Active NPI

Lucas B Payor, MD

  • Diagnostic Radiology Physician
  • Northridge, CA
National Provider Identifier
1740414382
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A129233 Issued in CA
Practice address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 435-1400
Fax
(818) 435-1492
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 A129233 CA Primary

Addresses

Primary practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

4100 Guardian St
Suite 205
Simi Valley, CA 93063-6717
Phone (855) 504-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150324000009 CA Practitioner - Diagnostic Radiology 6002050614 Reassigns benefits to 8 organizations
I20220812000544 HI Practitioner - Diagnostic Radiology 6002050614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Practice addresses (Care Compare)

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 435-1433

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

317 N Palm Dr
Apt 4C
Beverly Hills, CA 90210-5800
Phone (818) 639-2901

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (888) 965-0083

3851 Harbour Island LN
Unit 227
Oxnard, CA 93035-1471
Phone (818) 639-2901

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

4449 Paxton PL
Calabasas, CA 91302-3844
Phone (818) 639-2901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129233CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Aug 21, 2025 Accepting new patients
City of Hope Medical Foundation CurrentSince Dec 11, 2025 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Jan 3, 2022 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
California Imaging Institute Medical Group Inc CurrentSince Jan 3, 2022 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Feb 6, 2015 Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Halo Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1740414382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GUARDIAN ST",
            "address_2": "SUITE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636717",
            "telephone_number": "855-504-4544",
            "fax_number": "805-577-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400",
            "fax_number": "818-435-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYOR",
        "first_name": "LUCAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A129233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.