NPIMap

Organization Active NPI

Radiographica Medica Medical Group Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1851531735
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
WC32260A Issued in CA
Legal business name
RADIOGRAPHICA MEDICA MEDICAL GROUP INC
Practice address
949 Goodrich Blvd
Los Angeles, CA 90022-4116
Phone
(323) 724-1911
Fax
(323) 724-1946
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Carl H. Boatright, M.D.
Title
President
Phone
(323) 724-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X WC32260A CA Primary

Addresses

Primary practice location

949 Goodrich Blvd
Los Angeles, CA 90022-4116

Mailing address

949 Goodrich Blvd
Los Angeles, CA 90022-4116
Phone (323) 724-1911

National Provider Directory

National Provider Directory

Locations

949 Goodrich Blvd
Commerce, CA 90022
Phone (323) 724-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1851531735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GOODRICH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224116",
            "telephone_number": "323-724-1911",
            "fax_number": "323-724-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 GOODRICH BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224116",
            "telephone_number": "323-724-1911",
            "fax_number": "323-724-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOGRAPHICA MEDICA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-724-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "WC32260A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 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.