Individual provider Active NPI

Ved Prakash, M.D,

  • Nuclear Radiology Physician
  • San Bernardino, CA
National Provider Identifier
1932123809
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
A26373 Issued in CA
Practice address
225 W Hospitality LN
Sute#100
San Bernardino, CA 92408-3237
Phone
(909) 890-5856
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X A26373 CA Primary

Addresses

Primary practice location

225 W Hospitality LN
Sute#100
San Bernardino, CA 92408-3237

Mailing address

PO Box 43
Loma Linda, CA 92354-0690
Phone (909) 890-5856

Other identifiers 1

IdentifierTypeStateIssuer
00A263730MedicaidCA

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
I20041213001087 CA Practitioner - Diagnostic Radiology 6002873882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1690 Barton Rd
Redlands, CA 92373-4230
Phone (909) 806-7025

225 W Hospitality LN
San Bernardino, CA 92408-3244
Phone (909) 890-5856

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26373CAMDNuclear Radiology Physician
26373CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation CurrentSince Oct 1, 2018 Accepting new patients
Smi Imaging, LLC Past Accepting new patients
Wave Imaging LLC PastSince Nov 1, 2013 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 108
Redlands, CA 92373
Phone (909) 806-7025

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

635 Camino de los Mares
Ste 101
San Clemente, CA 92673
Phone (949) 506-5316

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

1825 Civic Center Dr
Ste 1
Santa Clara, CA 95050
Phone (408) 296-5555

225 W Hospitality Ln
Ste 100
Sn Bernrdno, CA 92408
Phone (909) 890-5850

3531 Fashion Way
Ste 2
Torrance, CA 90503
Phone (310) 974-1260

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1932123809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540690",
            "telephone_number": "909-890-5856",
            "fax_number": "909-890-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN",
            "address_2": "SUTE#100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083237",
            "telephone_number": "909-890-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "VED",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A26373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A263730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.