Organization Active NPI

Coast Radiology and Medical Imaging

Doing business as Coast Radiology and Medical Imaging Medical Group

  • Specialist
  • Long Beach, CA
National Provider Identifier
1861441628
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COAST RADIOLOGY AND MEDICAL IMAGING
Doing business as
Coast Radiology and Medical Imaging Medical Group
Practice address
1045 Atlantic Ave
Suite 105
Long Beach, CA 90813-3408
Phone
(562) 437-3833
Fax
(562) 624-0741
NPI assigned
May 9, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Gregory T Valey, M.D.
Title
Partner
Phone
(562) 437-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1045 Atlantic Ave
Suite 105
Long Beach, CA 90813-3408

Mailing address

1045 Atlantic Ave
Suite 105
Long Beach, CA 90813-3408
Phone (562) 437-3833

Other identifiers 2

IdentifierTypeStateIssuer
GR0017222MedicaidCA
GR0017223MedicaidCA

Other names 1

  • Coast Radiology and Medical Imaging Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1045 Atlantic Ave
Ste 105
Long Beach, CA 90813
Phone (562) 437-3833

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1861441628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-437-3833",
            "fax_number": "562-624-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-437-3833",
            "fax_number": "562-624-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST RADIOLOGY AND MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "VALEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "562-437-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0017222",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0017223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Radiology and Medical Imaging Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.