Organization Active NPI

Cedars-Sinai Imaging Medical Group a Professional Corporation

  • Diagnostic Radiology Physician
  • West Hollywood, CA
National Provider Identifier
1922135359
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CEDARS-SINAI IMAGING MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
8700 Beverly Blvd # M-335
West Hollywood, CA 90048-1804
Phone
(310) 423-6500
Fax
(310) 423-5654
NPI assigned
Feb 27, 2007
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Dr. Barry D Pressman, AUTHORIZED SIGNERNPI 1164559837
Title
President, Cfo, Ceo
Phone
(310) 423-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CA Primary

Addresses

Primary practice location

8700 Beverly Blvd # M-335
West Hollywood, CA 90048-1804

Mailing address

PO Box 607
Newbury Park, CA 91319-0607
Phone (800) 303-3044

Other identifiers 3

IdentifierTypeStateIssuer
200167900OtherDEPT OF LABOR
ZZZ33631ZOtherCABLUE SHIELD OF CALIF
GR0053310MedicaidCA

Other names 1

  • CSI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118001070 CA Part B Supplier - Clinic/Group Practice 4981518313 Receives reassigned benefits from 73 practitioners
2 other NPIs on this enrollment
Practice locations: Los Angeles, CA; West Hollywood, CA; Tarzana, CA; Rancho Mirage, CA; Beverly Hills, CA
O20211011003179 HI Part B Supplier - Clinic/Group Practice 4981518313 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8700 Beverly Blvd
#M335
West Hollywood, CA 90048
Phone (310) 423-6744

8700 Beverly Blvd
Rm M
West Hollywood, CA 90048
Phone (310) 423-6500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1922135359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190607",
            "telephone_number": "800-303-3044",
            "fax_number": "805-375-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD # M-335",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-6500",
            "fax_number": "310-423-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS-SINAI IMAGING MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "PRESSMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, CFO, CEO",
        "authorized_official_telephone_number": "310-423-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUTHORIZED SIGNER"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "200167900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIF",
            "identifier": "ZZZ33631Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.