Individual provider Active NPI

Geeta Varadraj Iyengar, M.D.

  • Body Imaging Physician
  • Los Angeles, CA
National Provider Identifier
1821033622
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A103202 Issued in CA
Practice address
1520 San Pablo St
LL, Ste 1600
Los Angeles, CA 90033-5310
Phone
(323) 442-7450
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A103202 CA Primary

Addresses

Primary practice location

1520 San Pablo St
LL, Ste 1600
Los Angeles, CA 90033-5310

Mailing address

PO Box 31399
Los Angeles, CA 90031-0399
Phone (626) 457-5842

Other identifiers 3

IdentifierTypeStateIssuer
P00348315OtherCARAIL ROAD MEDICARE
000F52200OtherCABLUE SHIELD
000F52200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503001320 CA Practitioner - Diagnostic Radiology 8325088974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alinea Imaging Associates IncGroup PAC ID 7113165986, 5 clinicians
Medical Imaging Center of Southern CaliforniaGroup PAC ID 2961306469, 7 clinicians

Practice addresses (Care Compare)

2475 N Garey Ave
Pomona, CA 91767-2139
Phone (909) 622-3166

2827 Wilshire Blvd
Santa Monica, CA 90403-4801
Phone (310) 829-9788

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alinea Imaging Associates Inc CurrentSince Apr 1, 2019 Accepting new patients
Medical Imaging Center of Southern California-Beverly Hills, Inc CurrentSince May 27, 2018 Accepting new patients
Medical Imaging Center of Southern California CurrentSince May 15, 2013 Accepting new patients
Usc Radiology Associates, Inc Body Imaging Past Accepting new patients
University Advance Bioimaging Associates Past Accepting new patients

Locations

2475 N Garey Ave
Pomona, CA 91767
Phone (909) 596-9997

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

2811 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 829-7988

8727 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 829-9788

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1821033622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31399",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310399",
            "telephone_number": "626-457-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST",
            "address_2": "LL, STE 1600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "GEETA",
        "middle_name": "VARADRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A103202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00348315",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000F52200",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000F52200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.