NPIMap

Organization Active NPI

Beverly Radiology Medical Group

Doing business as Burbank Advanced Imaging Center Med GRP

  • Diagnostic Radiology Physician
  • Burbank, CA
National Provider Identifier
1871547034
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BEVERLY RADIOLOGY MEDICAL GROUP
Doing business as
Burbank Advanced Imaging Center Med GRP
Practice address
3808 W Riverside Dr
Suite 120
Burbank, CA 91505-4325
Phone
(818) 842-5742
Fax
(818) 842-1369
NPI assigned
May 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard G Berger, MD
Title
President
Phone
(310) 445-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3808 W Riverside Dr
Suite 120
Burbank, CA 91505-4325

Mailing address

PO Box 240086
Los Angeles, CA 90024-9186
Phone (310) 445-2800

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ07537ZOtherCABLUE SHIELD

Other names 1

  • BURBANK ADVANCED IMAGING CENTER MED GRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beverly Radiology Medical14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3808 W Riverside Dr
Ste 120
Burbank, CA 91505
Phone (818) 246-8000

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871547034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240086",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900249186",
            "telephone_number": "310-445-2800",
            "fax_number": "310-445-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "SUITE 120",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-842-5742",
            "fax_number": "818-842-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ07537Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURBANK ADVANCED IMAGING CENTER MED GRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.