Individual provider Active NPI

Larry Eugene Menestrina, DO

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
National Provider Identifier
1902873532
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20CA 5780 Issued in CA
Practice address
228 9TH St
West Palm Beach, FL 33401-3704
Phone
(561) 832-2803
Fax
(561) 832-2810
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 20CA 5780 CA Primary

Addresses

Primary practice location

228 9TH St
West Palm Beach, FL 33401-3704

Mailing address

228 9TH St
West Palm Beach, FL 33401-3704
Phone (561) 832-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041023000294 CA Practitioner - Diagnostic Radiology 2860474467 Reassigns benefits to 1 organization
I20081009000315 AZ Practitioner - Diagnostic Radiology 2860474467 Reassigns benefits to 1 organization
I20140227001543 TX Practitioner - Diagnostic Radiology 2860474467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1657AZMDDentist
68875GAMDFamily Medicine Physician
20CA 5780CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince May 27, 2014 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince May 27, 2014 Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Renaissance Radiology Medical Group, Inc. PastSince Jan 1, 1990 Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Hemet Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Imaging Medical Associates, of San Diego, Inc. Diagnostic Radiology Past Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

1117 E Devonshire Ave
#1263
Hemet, CA 92543
Phone (909) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

28400 McCall Blvd
#1263
Sun City, CA 92585
Phone (909) 679-8888

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1902873532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 9TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013704",
            "telephone_number": "561-832-2803",
            "fax_number": "561-832-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 9TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013704",
            "telephone_number": "561-832-2803",
            "fax_number": "561-832-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESTRINA",
        "first_name": "LARRY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20CA 5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.