Individual provider Active NPI

Christopher M. Putman, MD

  • Neuroradiology Physician
  • Torrance, CA
National Provider Identifier
1942228960
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
C154845 Issued in CA
Practice address
4201 Torrance Blvd Ste 520
Torrance, CA 90503-4525
Phone
(424) 212-5361
Fax
(310) 316-3466
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0101231484 VA
Neuroradiology Physician 2085N0700X 0101231484 VA
Nuclear Radiology Physician 2085N0904X 0101231484 VA
Pediatric Radiology Physician 2085P0229X 0101231484 VA
Diagnostic Radiology Physician 2085R0202X 0101231484 VA
Diagnostic Radiology Physician 2085R0202X C154845 CA
Vascular & Interventional Radiology Physician 2085R0204X 0101231484 VA
Diagnostic Ultrasound Physician 2085U0001X 0101231484 VA
Neuroradiology Physician 2085N0700X C154845 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 520
Torrance, CA 90503-4525

Mailing address

2722 Merrilee Dr
230
Fairfax, VA 22031-4420
Phone (703) 698-4444

Other practice location 1

2722 Merrilee Dr
230
Fairfax, VA 22031-4420
Phone (703) 698-4444

Other identifiers 1

IdentifierTypeStateIssuer
0061OtherVACAREFIRST

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
I20190816000541 CA Practitioner - Diagnostic Radiology 2466530910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4201 Torrance Blvd
Suite 520
Torrance, CA 90503-4525
Phone (424) 212-5361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C154845CAMDNeuroradiology Physician
0101231484VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Jun 23, 2019 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jun 23, 2019 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Texas Neuroradiology, P.a. PastSince Mar 28, 2011 Accepting new patients

Locations

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

4201 Torrance Blvd
Ste 520
Torrance, CA 90503
Phone (310) 274-5372

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1942228960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314420",
            "telephone_number": "703-698-4444",
            "fax_number": "703-204-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 520",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034525",
            "telephone_number": "424-212-5361",
            "fax_number": "310-316-3466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Merrilee Dr",
            "address_2": "230",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314420",
            "country_code": "US",
            "telephone_number": "703-698-4444",
            "fax_number": "703-204-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C154845",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101231484",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "C154845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0061",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.