Active NPI
Geeta Varadraj Iyengar, M.D.
- Body Imaging Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A103202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00348315 | Other | CA | RAIL ROAD MEDICARE |
| 000F52200 | Other | CA | BLUE SHIELD |
| 000F52200 | Medicaid | CA |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alinea Imaging Associates Inc | Current | Accepting new patients | |
| Medical Imaging Center of Southern California-Beverly Hills, Inc | Current | Accepting new patients | |
| Medical Imaging Center of Southern California | Current | 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.
-
- Mobile Mammography Clinic/Center
- Pomona, CA
- NPI 1376884221
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1700907433
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1437641727
-
- Nuclear Radiology Physician
- Los Angeles, CA
- NPI 1306899695
-
- Body Imaging Physician
- Los Angeles, CA
- NPI 1225089865
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.