Active NPI
Hawthorne Radiology Associates Medical Group, Inc.
- Diagnostic Radiology Physician
- Montebello, CA
National Provider Identifier
1740614130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC.
- Practice address
- 1918 W Beverly Blvd
Montebello, CA 90640-3957 - Phone
- (323) 838-6800
- NPI assigned
- Aug 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sidney Friedman, M.D.
- Title
- President
- Phone
- (805) 577-2011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1918 W Beverly Blvd
Montebello, CA 90640-3957
Mailing address
PO Box 190
Simi Valley, CA 93062-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0021910 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Montebello, CA
- NPI 1730147935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1740614130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930620190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403957",
"telephone_number": "323-838-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWTHORNE RADIOLOGY ASSOCIATES MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "SIDNEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-577-2011",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0021910",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.