Individual provider Active NPI

Brian F. King, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1871515650
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G66685 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 24, 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 G66685 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 (714) 571-5000

Other identifiers 3

IdentifierTypeStateIssuer
00G666850OtherBLUE SHIELD OF CA
00G666850MedicaidCA
300128255OtherRAILROAD 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
I20100506000395 CA Practitioner - Diagnostic Radiology 1456360312 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester F Griffiths M D a Medical CorporationGroup PAC ID 8224921226, 3 clinicians

Practice addresses (Care Compare)

11645 Wilshire Blvd
Suite 600
Los Angeles, CA 90025-6807
Phone (310) 477-5558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66685CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Aug 1, 2015 Accepting new patients
Chester F Griffiths, MD - a Medical Corporation CurrentSince Jul 1, 2020 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2015 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
County of Los Angeles Current Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Landmark Imaging Surgical Center, LLC Past Accepting new patients

Locations

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

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1871515650",
    "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": "714-571-5000",
            "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": "KING",
        "first_name": "BRIAN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G66685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G666850",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300128255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.