Individual provider Active NPI

Joshua Taifer, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1801833033
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G38930 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G38930 CA Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other identifiers 3

IdentifierTypeStateIssuer
00G389300OtherCABLUE SHIELD
GR0106039MedicaidCA
00G389300MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38930CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology PastSince Jan 20, 2010 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology PastSince Mar 22, 2011 Accepting new patients
Truxtun Radiology Medical Group, L.P. PastSince Jun 1, 2010 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1801833033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIFER",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G38930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G389300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G389300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 Feb 18, 2009; 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.