NPIMap

Individual provider Active NPI

Angela C Sie, MD

  • Diagnostic Radiology Physician
  • Long Beach, CA
National Provider Identifier
1932181419
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G72125 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806
Phone
(562) 933-1550
NPI assigned
Nov 18, 2005
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 G72125 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806

Mailing address

Dept la 21749
Pasadena, CA 91185-1749
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00G721250OtherCABS
00G721250MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000987 CA Practitioner - Diagnostic Radiology 7618871534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Imaging Radiologists a Medical Group IncGroup PAC ID 5294747085, 5 clinicians

Practice addresses (Care Compare)

2810 Long Beach Blvd
Long Beach, CA 90806-1558
Phone (844) 825-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.84 of 100Reported as group
Quality
59.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Imaging Radiologists, a Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince May 16, 2021 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

2810 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 933-1877

2810 Long Beach Blvd
Ste 2
Long Beach, CA 90806

11121 Los Alamitos Blvd
Ste B
Los Alamitos, CA 90720

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1932181419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21749",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851749",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-933-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIE",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G72125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00G721250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G721250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.