Active NPI
Radiology Partners Management, LLC
- Diagnostic Radiology Physician
- El Segundo, CA
National Provider Identifier
1831865880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY PARTNERS MANAGEMENT, LLC
- Practice address
- 2330 Utah Ave Ste 200
El Segundo, CA 90245-4817 - Phone
- (312) 724-8477
- NPI assigned
- Aug 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naomi M Cassin
- Title
- Avp, Provider Enrollment
- Phone
- (312) 724-8477
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Mailing address
PO Box 686
Wausau, WI 54402-0686
Phone (404) 480-2491
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- El Segundo, CA
- NPI 1114973542
-
- Audiologist
- Grand Junction, CO
- NPI 1689313504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1831865880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544020686",
"telephone_number": "404-480-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 UTAH AVE STE 200",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454817",
"telephone_number": "312-724-8477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY PARTNERS MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-19",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "CASSIN",
"authorized_official_first_name": "NAOMI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "AVP, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "312-724-8477"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.