UCLA Radiology Medical Group

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

UCLA RADIOLOGY MEDICAL GROUP

Practice address

757 Westwood PLZ
Los Angeles, CA 90095-3075

Phone

(310) 825-9111

NPI assigned

Dec 19, 2005

Last updated

Dec 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dieter Enzmann

Title

Department Chairman

Phone

(310) 794-6624

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations (25 of 37)

Practitioners 500

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.

• Brianna Gina Modugno Abadie, M.D.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1861811291

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fatemeh Abdollahi Mofakham, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1659652915
  Medicare reassignment Care Compare group NPD
• Denise Aberle, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1053361501
  Medicare reassignment Care Compare group NPD
• Fereidoun G Abtin, MD

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
  • NPI 1447267547

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Karina Vanessa Acevedo, AGACNP-BC

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1205485646
  Medicare reassignment Care Compare group NPD
• Jay Acharya, MD

  • Neuroradiology Physician
  • West Hollywood, CA
  • NPI 1871995498
  Medicare reassignment Care Compare group NPD
• Jordan Mossler Anaokar, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1386893055
  Medicare reassignment Care Compare group NPD
• Maria Francesca Larissa Anselmo, NP

  • Acute Care Nurse Practitioner
  • Santa Monica, CA
  • NPI 1992464572
  Medicare reassignment Care Compare group NPD
• Jhoanna J Anuran Torres, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1184870537
  Medicare reassignment Care Compare group NPD
• Gregory R Applegate, M.D.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1386751741
  Medicare reassignment Care Compare group NPD
• Laura J Applegate, M.D.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1013024488
  Medicare reassignment Care Compare group NPD
• Alwalid Khalifa Ashmeik, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1225667835
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1881670248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 55619",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "310-825-4721",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "ENZMANN",
        "authorized_official_first_name": "DIETER",
        "authorized_official_title_or_position": "DEPARTMENT CHAIRMAN",
        "authorized_official_telephone_number": "310-794-6624"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053541",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• UCLA Residency Program
• UCLA Ronald Reagan Hospital
• UCLA School of Dentisrty
• UCLA School of Dentistry
• UCLA School of Dentistry

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.