Jeffrey C. Caverly, MD
Individual provider Active NPI Diagnostic Radiology Physician · Glendale, CA
NPI 1912968686 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1912968686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- G81806 (CA)
- Practice address
- 1509 Wilson Terrace
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 202
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Southern California Keck School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Humboldt Park Health
Radiology Associates of Albuquerque PA
Central Texas Radiological Associates PA
Dickinson County Healthcare System
Faculty Physicians and Surgeons of Llusm
La Paz Regional Hospital Inc
Edward W Sparrow Hospital Association
Interfaith Professional Physician Services PC
Central Valley Community Medical Imaging
On-Line Radiology Medical Group Inc
Bayhealth Radiologists LLC
Pco PC
Christiana Care Health Services Inc
Lubbock County Hospital District
Hospital and Medical Foundation of Paris Inc
Rockford Health Physicians
Thorek Radiology Group NFP
Mercy Health System Corporation
Grays Harbor Community Hospital
Practice addresses (Care Compare)
Corona del Mar, CA 92625
Phone (773) 292-8200
San Clemente, CA 92672
Phone (800) 841-4236
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227
11370 Anderson St
Loma Linda, CA 92354-3450
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382
1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (951) 290-4000
315 Calle Pescador
San Clemente, CA 92672-2206
Phone (610) 892-8889
315 Goldenrod Ave
Corona del Mar, CA 92625-2905
Phone (559) 256-1975
3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-6662
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Presbyterian Hospital
- Riverside University Health System-Medical Center
- Bayhealth Medical Center, Kent Campus
- University Medical Center
- Brookdale Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (10 enrollments) in CA, TX, NM, IL, WA, AZ, NY, FL, MI, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070516000390 | CA | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 17 organizations |
| I20140522002123 | TX | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 13 organizations |
| I20150410001381 | NM | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 2 organizations |
| I20150526000946 | IL | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 8 organizations |
| I20171215001537 | WA | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 1 organization |
| I20190131003403 | AZ | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 2 organizations |
| I20200306002080 | NY | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 2 organizations |
| I20200626001988 | FL | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 1 organization |
| I20240802001891 | MI | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 1 organization |
| I20240826003450 | DE | Practitioner - Diagnostic Radiology | 2961509500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G81806 | CA | MD | Diagnostic Radiology Physician |
| C1-0025584 | DE | MD | Diagnostic Radiology Physician |
| ME141068 | FL | MD | Diagnostic Radiology Physician |
| 036131485 | IL | MD | Diagnostic Radiology Physician |
Practice roles (60 of 104)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Radiology P C | Diagnostic Radiology | Current |
Accepting new patients |
| Central Valley Community Medical Imaging | Diagnostic Radiology | Current |
Accepting new patients |
| First Medical Center Inc | Current |
Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| La Paz Regional Hospital Inc | Current |
Accepting new patients | |
| DHHS IHS Phoenix | Current |
Accepting new patients | |
| Humboldt Park Health | Current |
Accepting new patients | |
| The Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Nor-Lea Hospital District | Current |
Accepting new patients | |
| Mercy Harvard Hospital Inc | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| On-Line Radiology Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Lubbock County Hospital District | Diagnostic Radiology | Current |
Accepting new patients |
| Mercy Harvard Hospital Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current |
Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Pco PC | Diagnostic Radiology | Current |
Accepting new patients |
| Thorek Memorial Hospital | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportation | Current | Accepting new patients | |
| La Paz Regional Hospital Inc., Dba Parker Podiatry | Current |
Accepting new patients | |
| Lansing Radiology Associates P C | Diagnostic Radiology | Current |
Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Grays Harbor Community Hospital | Current |
Accepting new patients | |
| La Paz Regional Hospital Inc | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Irene Benn Medical Center | Current |
Accepting new patients | |
| El Paso County Hospital District | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Thorek Radiology Group NFP | Diagnostic Radiology | Current |
Accepting new patients |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients |
Locations (25 of 78)
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
11841 South St
Cerritos, CA 90703
Phone (562) 809-8082
1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002
1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
8391 Beverly Blvd
Unit 264
Los Angeles, CA 90048
Phone (213) 247-7251
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510
401 N Carter Rd
Smyrna, DE 19977
Phone (302) 653-2010
Carol Stream, IL 60122
8175 Reliable Pkwy
Chicago, IL 60686
2741 Paysphere Cir
Chicago, IL 60674
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jcaverly101958@direct.llu.edu
- jcaverly274373@mhsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C1-0025584 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | ME141068 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 036131485 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | G81806 | CA | Yes |
Addresses
Primary practice location
1509 Wilson Terrace
Glendale, CA 91206-4007
Mailing address
2200 North Mayfair Road
Suite 200
Wauwatosa, WI 53226-2252
Phone (414) 258-9511
Other practice location 1
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
Other practice location 2
4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840
Other practice location 3
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10145172 | Other | RR MEDICARE | |
| 00G818060 | Other | CA | BLUE SHIELD |
| 1912968686 | Medicaid | CA | |
| 1912968686 | Other | CA | BLUE CROSS |
NPI Registry JSON
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1912968686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NORTH MAYFAIR ROAD",
"address_2": "SUITE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262252",
"telephone_number": "414-258-9511",
"fax_number": "414-607-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TERRACE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000"
}
],
"practiceLocations": [
{
"address_1": "721 E Court St",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "IL",
"postal_code": "619442460",
"country_code": "US",
"telephone_number": "217-465-4141",
"fax_number": "217-465-5615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_purpose": "LOCATION",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1840",
"fax_number": "302-733-1633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVERLY",
"first_name": "JEFFREY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C1-0025584",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME141068",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036131485",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G81806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P10145172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G818060",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912968686",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1912968686",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.