Individual provider Active NPI

Ronald Andiman, M.D.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1902936396
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G21750 Issued in CA
Practice address
8631 W 3Rd St # 531E
Los Angeles, CA 90048-5901
Phone
(310) 855-7161
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G21750 CA Primary

Addresses

Primary practice location

8631 W 3Rd St # 531E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St # 531E
Los Angeles, CA 90048-5901
Phone (310) 855-7161

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ81481ZMedicaidCA

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
I20100527000762 CA Practitioner - Neurology 3577692656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G21750CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Neurology Neurology CurrentSince Oct 15, 2024 Accepting new patients
Steven B. Graff-Radford, B.D.S., Inc. Past Accepting new patients

Locations

415 N Crescent Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 657-8400

150 N Robertson Blvd
Ste 205
Beverly Hills, CA 90211
Phone (310) 657-8585

Interoperability endpoints

  • Direct secure messaging: randiman102259@direct.cshs.org

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1902936396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST # 531E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST # 531E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDIMAN",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G21750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ81481Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.