Active NPI
Greg Todd Mogel, MD
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A86378
- Practice address
- 1500 San Pablo St FL 2
Los Angeles, CA 90033-5313 - Phone
- (323) 442-8541
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 49360 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | A86378 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541
Other practice location 1
2045 N Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545
Other practice location 2
2045 N Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040120001089 | CA | Practitioner - Diagnostic Radiology | 2466353552 | Reassigns benefits to 5 organizations |
| I20231114002518 | MD | Practitioner - Diagnostic Radiology | 2466353552 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Perelman School of Med at the University of Pennsylvania, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of California SFGH Medical GroupUnion Hospital of Cecil CountyPrecision Diagnostic Radiology LLC
Practice addresses (Care Compare)
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-5871
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
3275 Briggs Ave
Alameda, CA 94501-4802
Phone (215) 483-9900
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
- Union Hospital of Cecil County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49360 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Diagnostic Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Open MRI & Imaging Center of Elkton,LLC | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Union Hospital of Cecil County | Diagnostic Radiology | Current | Accepting new patients |
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Union Hospital of Cecil County | Diagnostic Radiology | Current | Accepting new patients |
| University Advance Bioimaging Associates | Past | Accepting new patients | |
| Usc Imaging Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Flatirons Radiology, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Usc Radiology Associates, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541
4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
301 Augustine Herman Hwy
Ste A
Elkton, MD 21921
Phone (410) 620-1900
207 North St
Ste A
Elkton, MD 21921
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
Organizations & group practices 30
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.
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1063487122
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558053181
CA, Diagnostic Radiology
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
CA, Diagnostic Radiology
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
CA, Diagnostic Radiology
-
- Radiology Clinic/Center
- Elkton, MD
- NPI 1609961390
Diagnostic Radiology
-
- Radiology Clinic/Center
- Perryville, MD
- NPI 1922246206
Diagnostic Radiology
-
- Otolaryngology Physician
- San Francisco, CA
- NPI 1154396208
-
- Dermatology Physician
- San Francisco, CA
- NPI 1164497285
-
- Hematology (Internal Medicine) Physician
- San Francisco, CA
- NPI 1326013442
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1356316418
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
Hospital
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1760418677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-8541"
}
],
"practiceLocations": [
{
"address_1": "2045 N Franklin St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802055437",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2045 N Franklin St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802055437",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOGEL",
"first_name": "GREG",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "49360",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A86378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4601 Dale Rd",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953569718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.