Individual provider Active NPI

Raymond H. Kuo, MD

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1922033620
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A78920 Issued in CA
Practice address
230 S Main St
Orange, CA 92868-3851
Phone
(714) 978-2937
Fax
(714) 978-2518
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 A78920 CA Primary

Addresses

Primary practice location

230 S Main St
Orange, CA 92868-3851

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other identifiers 3

IdentifierTypeStateIssuer
00A789200OtherCABLUE SHIELD
1922033620MedicaidCA
00A789200MedicaidCA

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
I20070627000749 CA Practitioner - Diagnostic Radiology 7810096120 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Practice addresses (Care Compare)

17100 Euclid St
Suite 4004
Fountain Valley, CA 92708-4004
Phone (818) 639-2901

Hospital & facility affiliations

  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

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
A78920CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince May 1, 2010 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP CurrentSince Oct 29, 2009 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 3, 2018 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations

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

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

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

47111 Monroe St
#1112
Indio, CA 92201

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

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

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

38925 Trade Center Dr
Unit E
Palmdale, CA 93551
Phone (661) 726-6050

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1922033620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-978-2937",
            "fax_number": "714-978-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "RAYMOND",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A78920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A789200",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922033620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A789200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.