Individual provider Active NPI

Peter W Joyce, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1902848914
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G27223 Issued in CA
Practice address
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone
(310) 264-9000
Fax
(310) 264-9004
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 G27223 CA Primary

Addresses

Primary practice location

2202 Wilshire Blvd
Santa Monica, CA 90403-5706

Mailing address

Dept la 21559
Pasadena, CA 91185-1559
Phone (323) 297-0670

Other identifiers 2

IdentifierTypeStateIssuer
00G272230OtherCABLUE SHIELD OF CA
00G272230MedicaidCA

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
I20041005000757 CA Practitioner - Diagnostic Radiology 3274592373 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27223CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Aug 1, 2008 Accepting new patients
Torrance Health Association Inc CurrentSince Sep 1, 2022 Accepting new patients
Torrance Memorial Medical Center Diagnostic Radiology CurrentSince Aug 1, 2008 Accepting new patients
Torrance Radiology Medical Group Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Saint John'S Tower Imaging Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

2110 E El Segundo Blvd
Ste 180
El Segundo, CA 90245
Phone (310) 517-1126

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3330 Lomita Blvd
Fl 5
Torrance, CA 90505
Phone (310) 517-4735

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1902848914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21559",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851559",
            "telephone_number": "323-297-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035706",
            "telephone_number": "310-264-9000",
            "fax_number": "310-264-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "PETER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G27223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G272230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G272230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.