Anaheim Radiology Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G23669 Issued in CA

Legal business name

ANAHEIM RADIOLOGY MEDICAL GROUP, INC.

Practice address

3105 Paseo del Campo
Palos Verdes Estates, CA 90274-1034

Phone

(310) 339-1514

Fax

(310) 375-8176

NPI assigned

Jun 27, 2008

Last updated

Oct 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter S Herwitt, M.D.NPI 1023223757

Title

President

Phone

(310) 339-1514

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Herwitt, M.D.

  • Diagnostic Radiology Physician
  • Palos Verdes Estates, CA
  • NPI 1023223757
  Authorized official Same address or phone

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1740442045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 PASEO DEL CAMPO",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741034",
            "telephone_number": "310-375-8170",
            "fax_number": "310-375-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 PASEO DEL CAMPO",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741034",
            "telephone_number": "310-339-1514",
            "fax_number": "310-375-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "HERWITT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-339-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G23669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0009701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Adamowicz
• Kathleen Yesnick Adams, PMHNP
• Gregory Allen, PH.D., MFT
• Nancy Barnett, L.AC.
• Erika Maria Barrantes, L.AC.
• Jonathan W Barris, LMFT
• Helana Barry, PH.D.
• Richard David Benner, DDS

• Diagnostic Radiology Physician in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, 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 Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.