Individual provider Active NPI

Juan Diego Lozano, MD

  • Neuroradiology Physician
  • Torrance, CA
National Provider Identifier
1871750604
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
U3583 Issued in TX
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(310) 374-8191
Fax
(310) 303-6834
NPI assigned
May 20, 2008
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME112580 FL
Neuroradiology Physician 2085N0700X A144652 CA
Nuclear Radiology Physician 2085N0904X ME112580 FL
Diagnostic Radiology Physician 2085R0202X ME112580 FL
Diagnostic Radiology Physician 2085R0202X A144652 CA
Neuroradiology Physician 2085N0700X U3583 TX Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3194
Phone (817) 321-0404

Other practice location 1

1429 Clear Lake Rd Ste 400
Weatherford, TX 76086-8803
Phone (817) 321-0404

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-3533

Other practice location 3

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-5512

Other practice location 4

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (909) 554-0400

Other practice location 5

815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone (817) 321-0404

Other identifiers 2

IdentifierTypeStateIssuer
M6074OtherFLMEDICARE HF
024978900MedicaidFL

Other names 1

  • Juan Diego Lozano Vargas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, MT, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130624000485 FL Practitioner - Diagnostic Radiology 4284873266
I20161208001758 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Other (Physician) 4284873266 Reassigns benefits to 2 organizations
I20220317001082 MT Practitioner - Interventional Radiology 4284873266 Reassigns benefits to 10 organizations
I20230606003710 TX Practitioner - Diagnostic Radiology 4284873266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2001
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144652CAMDNeuroradiology Physician
U3583TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Feb 25, 2022 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Aug 18, 2022 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Apr 30, 2021 Accepting new patients
University of Miami CurrentSince Apr 30, 2021 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Memorial Hospital Association CurrentSince Aug 18, 2022 Accepting new patients
Rosebud Community Hospital Inc Current Accepting new patients
Townsend Health Systems Inc, CurrentSince Aug 18, 2022 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Feb 25, 2022 Accepting new patients
Townsend Health Systems, Inc. CurrentSince Aug 18, 2022 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jan 10, 2022 Accepting new patients
Yellowstone City-County Health Department CurrentSince Aug 18, 2022 Accepting new patients
University of Miami CurrentSince Jun 1, 2023 Accepting new patients
Radiology Associates of North Texas PA Neuroradiology CurrentSince Jul 17, 2023 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Aug 18, 2022 Accepting new patients
Daniels Memorial Hospital CurrentSince Aug 18, 2022 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jan 10, 2022 Accepting new patients
Powder River County CurrentSince Aug 18, 2022 Accepting new patients
Yellowstone City-County Health Dept CurrentSince Aug 18, 2022 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Dec 27, 2025 Accepting new patients
Powder River County CurrentSince Aug 18, 2022 Accepting new patients
Memorial Hospital Association CurrentSince Aug 18, 2022 Accepting new patients
Daniels Memorial Hospital CurrentSince Aug 18, 2022 Accepting new patients
Billings Clinic Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Life Radiology LLC Past Accepting new patients

Locations

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

123 S 27th St
Billings, MT 59101
Phone (406) 247-3200

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

110 N Oak St
Townsend, MT 59644
Phone (406) 266-3186

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

1429 Clear Lake Rd
Ste 400
Weatherford, TX 76086
Phone (817) 321-0312

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jlozano1201163@direct.sw.org
  • Direct secure messaging: jlozanovargas32482@direct.med.miami.edu

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1871750604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043194",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-374-8191",
            "fax_number": "310-303-6834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 Clear Lake Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760868803",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-3533",
            "fax_number": "321-434-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "909-554-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042294",
            "country_code": "US",
            "telephone_number": "817-321-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "JUAN",
        "middle_name": "DIEGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME112580",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A144652",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME112580",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME112580",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A144652",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "U3583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "M6074",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024978900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "LOZANO VARGAS",
            "middle_name": "DIEGO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.