NPIMap

Organization Active NPI

Bay Imaging Consultants Medical Group

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1780154153
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BAY IMAGING CONSULTANTS MEDICAL GROUP
Practice address
435 W Los Feliz Rd Unit 462
Glendale, CA 91204-3569
Phone
(925) 296-7150
NPI assigned
Nov 28, 2018
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Aseem Om RawalNPI 1073554465
Title
President
Phone
(925) 296-7108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

435 W Los Feliz Rd Unit 462
Glendale, CA 91204-3569

Mailing address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone (925) 296-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040110000189 CA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 167 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Bay Imaging Consultants Medical Group Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1780154153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W LOS FELIZ RD UNIT 462",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043569",
            "telephone_number": "925-296-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY IMAGING CONSULTANTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "ASEEM",
        "authorized_official_middle_name": "OM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-296-7108"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.