Organization Active NPI

Peter Foldvary MD a Professional Corporation

  • Diagnostic Radiology Physician
  • Long Beach, CA
National Provider Identifier
1760481907
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G32026 Issued in CA
Legal business name
PETER FOLDVARY MD A PROFESSIONAL CORPORATION
Practice address
3715 E South St
Long Beach, CA 90805-4521
Phone
(310) 271-3390
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Peter Foldvary, MD
Title
President
Phone
(310) 271-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G32026 CA Primary

Addresses

Primary practice location

3715 E South St
Long Beach, CA 90805-4521

Mailing address

PO Box 16580
Beverly Hills, CA 90209-2580
Phone (310) 271-3390

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ25745ZOtherCABLUE SHIELD PROV NUMBER
00G320261MedicaidCA

National Provider Directory

National Provider Directory

Locations

155 N San Vicente Blvd
Ste 100
Beverly Hills, CA 90211

155 N San Vicente Blvd
#100
Beverly Hills, CA 90211

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1760481907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16580",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092580",
            "telephone_number": "310-271-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054521",
            "telephone_number": "310-271-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER FOLDVARY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FOLDVARY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-3390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G32026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "ZZZ25745Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G320261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.