Individual provider Active NPI

Douglas Henderson Brown, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1851317549
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A53327 Issued in CA
Practice address
11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706
Phone
(310) 914-7336
Fax
(310) 914-7326
NPI assigned
Jul 14, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 A53327 CA Primary

Addresses

Primary practice location

11620 Wilshire Blvd
Ste. 100
Los Angeles, CA 90025-1706

Mailing address

PO Box 5667
Orange, CA 92863-5667
Phone (888) 598-8820

Other identifiers 3

IdentifierTypeStateIssuer
00A533270MedicaidCA
00A533270OtherBLUE SHIELD OF CA
300128257OtherRAILROAD MEDICARE

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
I20040308001012 CA Practitioner - Diagnostic Radiology 7618865031 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Santa Rosa Imaging Medical CenterGroup PAC ID 2567408859, 20 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

114 La Casa Via
Suite 100
Walnut Creek, CA 94598-3044
Phone (925) 937-6100

12677 Hesperia Rd
Suite 190
Victorville, CA 92395-7754
Phone (760) 243-1234

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

2428 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404-2046
Phone (310) 582-7900

3536 Mendocino Ave
Suite 280
Santa Rosa, CA 95403-3634
Phone (707) 579-8226

41 120 Washington JFK
2ND FL
Indio, CA 92201
Phone (760) 360-3193

6191 N Thesta St
Fresno, CA 93710-5266
Phone (559) 447-2600

79 Scripps Dr
Suite 100
Sacramento, CA 95825-6208
Phone (916) 921-1300

7911 Laguna Blvd
Elk Grove, CA 95758-7920
Phone (916) 478-3710

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53327CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 24, 2017 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jan 1, 2014 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 12, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 24, 2017 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 3, 2017 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Feb 13, 2017 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 29, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Apr 9, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Landmark Imaging Surgical Center, LLC Past Accepting new patients

Locations (25 of 55)

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 112
Long Beach, CA 90808
Phone (562) 517-6970

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1851317549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5667",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635667",
            "telephone_number": "888-598-8820",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD",
            "address_2": "STE. 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251706",
            "telephone_number": "310-914-7336",
            "fax_number": "310-914-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DOUGLAS",
        "middle_name": "HENDERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A53327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A533270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A533270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300128257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.