Organization Active NPI

Duarte Radiology Med GRP Inc

  • Diagnostic Radiology Physician
  • Arcadia, CA
National Provider Identifier
1861517245
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DUARTE RADIOLOGY MED GRP INC
Practice address
159 E Huntington Dr
Suite 9
Arcadia, CA 91006-3224
Phone
(626) 447-3926
Fax
(626) 447-3717
NPI assigned
Mar 21, 2007
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Erwin Gerberg, MD
Title
President
Phone
(626) 447-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

159 E Huntington Dr
Suite 9
Arcadia, CA 91006-3224

Mailing address

159 E Huntington Dr
Suite 9
Arcadia, CA 91006-3224
Phone (626) 447-3926

Other identifiers 1

IdentifierTypeStateIssuer
00G99990MedicaidCA

National Provider Directory

National Provider Directory

Locations

159 E Huntington Dr
Ste 9
Arcadia, CA 91006
Phone (626) 447-3926

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1861517245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E HUNTINGTON DR",
            "address_2": "SUITE 9",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063224",
            "telephone_number": "626-447-3926",
            "fax_number": "626-447-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E HUNTINGTON DR",
            "address_2": "SUITE 9",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063224",
            "telephone_number": "626-447-3926",
            "fax_number": "626-447-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUARTE RADIOLOGY MED GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "GERBERG",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-447-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G99990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.