Resolution Imaging Medical Corporation

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RESOLUTION IMAGING MEDICAL CORPORATION

Practice address

2336 Santa Monica Blvd
#206
Santa Monica, CA 90404-2095

Phone

(310) 828-7226

Fax

(310) 496-0531

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David Paul Allegra, MD

Title

Partner/Cfo

Phone

(310) 701-0905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Foothill Anesthesia, Inc

  • Certified Registered Nurse Anesthetist
  • Pasadena, CA
  • NPI 1285695650

  O20031105000832

  Same enrollment
• HB Surgery Center, Inc.

  • Multi-Specialty Clinic/Center
  • Hermosa Beach, CA
  • NPI 1245679737

  O20031105000832

  Same enrollment
• John Badi Cher

  dba Parkside Surgery Institute

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
  • NPI 1477678316

  O20031105000832

  Same enrollment
• Sheldon Jordan, M.D., Inc.

  • Interventional Pain Medicine Physician
  • Santa Monica, CA
  • NPI 1043241995

  O20031105000832

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond J Hussain, CRNA

  • Certified Registered Nurse Anesthetist
  • Panorama City, CA
  • NPI 1588723209
  NPD
• Francis Gary Lum, CRNA

  • Certified Registered Nurse Anesthetist
  • Brawley, CA
  • NPI 1184634339
  NPD

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1750519401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "#206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7226",
            "fax_number": "310-496-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "#206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7226",
            "fax_number": "310-496-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION IMAGING MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "ALLEGRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER/CFO",
        "authorized_official_telephone_number": "310-701-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dale Renaud, M.D.
• Renee N Magana MD Inc
• Rochelle Marie Reno, PH.D.
• Rephana Medical Group
• Elyse R Resch, MS, RDN, CEDS-S
• Resolution Surgical, LLC
• Respiratory Consultants of Santa Monica
• Restorative Residential LLC (Lightfully Behavioral Health)
• Megan Retterath
• Sarah Ruth Rettinger, MD

• Diagnostic Radiology Physician in Santa Monica, CA
• Providers in Santa Monica, 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 Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.