Individual provider Active NPI

Laurie Anne Cleland, MD

  • Diagnostic Radiology Physician
  • Burbank, CA
National Provider Identifier
1881698819
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G87623 Issued in CA
Practice address
1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone
(818) 843-2835
Fax
(818) 843-3310
NPI assigned
Jun 8, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00036175 WA
Diagnostic Radiology Physician 2085R0202X MD15620 OR
Diagnostic Radiology Physician 2085R0202X G87623 CA Primary

Addresses

Primary practice location

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459

Mailing address

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone (818) 843-2835

Other identifiers 1

IdentifierTypeStateIssuer
8226417MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060707000214 CA Practitioner - Diagnostic Radiology 4284604547 Reassigns benefits to 5 organizations
I20230126000310 SC Practitioner - Diagnostic Radiology 4284604547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

11 Deer Run
Bluffton, SC 29910-4729
Phone (585) 218-8006

3900 Sherman Dr
Riverside, CA 92503-4006

801 S Main St
Corona, CA 92882-3410

8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87623CAMDDiagnostic Radiology Physician
MD15620ORMDDiagnostic Radiology Physician
MD00036175WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 4, 2017 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 4, 2017 Accepting new patients
Advanced Medical Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

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

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

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

1160 Pittsford Victor Rd
Ste D
Pittsford, NY 14534
Phone (585) 218-8008

Organizations & group practices 9

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1881698819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-843-2835",
            "fax_number": "818-843-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-843-2835",
            "fax_number": "818-843-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLELAND",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00036175",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD15620",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G87623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8226417",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.