Individual provider Active NPI

Vanja Varenika, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1942576681
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A128939 Issued in CA
Practice address
1510 Cotner Ave
Los Angeles, CA 90025
Phone
(585) 218-8007
Fax
(585) 218-8099
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 A128939 CA Primary

Addresses

Primary practice location

1510 Cotner Ave
Los Angeles, CA 90025

Mailing address

1510 Cotner Ave
Los Angeles, CA 90025-3303
Phone (585) 218-8007

Other practice location 1

505 Parnassus Ave
San Francisco, CA 94143-0628
Phone (415) 353-2573

Other practice location 2

1661 Soquel Dr Ste G
Santa Cruz, CA 95065
Phone (831) 476-7711

Other practice location 3

1661 Soquel Dr Ste G
Santa Cruz, CA 95065
Phone (831) 476-7711

Other practice location 4

1661 Soquel Dr Ste G
Santa Cruz, CA 95065
Phone (831) 476-7711

Other practice location 5

1661 Soquel Dr Ste G
Santa Cruz, CA 95065
Phone (831) 476-7711

Other identifiers 1

IdentifierTypeStateIssuer
1942576681MedicaidCA

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
I20170711001167 CA Practitioner - Diagnostic Radiology 9537438312 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Radnet Medical Imaging-San FranciscoGroup PAC ID 9830283761, 35 clinicians
Santa Rosa Imaging Medical CenterGroup PAC ID 2567408859, 20 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians

Practice addresses (Care Compare)

114 La Casa Via
Suite 100
Walnut Creek, CA 94598-3044
Phone (925) 937-6100

1239 McHenry Ave
Suite a
Modesto, CA 95350-5330
Phone (209) 491-5200

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

2601 W Alameda Ave
Bubank, CA 91505-4810
Phone (818) 843-7462

2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333

3440 California St
San Francisco, CA 94118-1837
Phone (415) 922-6767

3536 Mendocino Ave
Suite 280
Santa Rosa, CA 95403-3634
Phone (707) 579-8226

41 120 Washington JFK
2ND FL
Indio, CA 92201
Phone (760) 360-3193

79 Scripps Dr
Suite 100
Sacramento, CA 95825-6208
Phone (916) 921-1300

7911 Laguna Blvd
Elk Grove, CA 95758-7920
Phone (916) 478-3710

79440 Corporate Ctr Dr
Suite 118
La Quinta, CA 92253-7244
Phone (760) 777-4646

81 880 Dr Carreo Blvd
A 102
Indio, CA 92201
Phone (760) 863-3857

8710 Monroe CT
Suite 100
Rancho Cucamonga, CA 91730-4884
Phone (909) 581-6480

8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128939CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Feb 1, 2019 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 19, 2019 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 19, 2019 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Feb 18, 2019 Accepting new patients

Locations (25 of 31)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

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

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638

79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1942576681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "585-218-8007",
            "fax_number": "585-218-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "585-218-8007",
            "fax_number": "585-218-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430628",
            "country_code": "US",
            "telephone_number": "415-353-2573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95065",
            "country_code": "US",
            "telephone_number": "831-476-7711",
            "fax_number": "831-462-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95065",
            "country_code": "US",
            "telephone_number": "831-476-7711",
            "fax_number": "831-462-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95065",
            "country_code": "US",
            "telephone_number": "831-476-7711",
            "fax_number": "831-462-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "95065",
            "country_code": "US",
            "telephone_number": "831-476-7711",
            "fax_number": "831-462-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARENIKA",
        "first_name": "VANJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A128939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942576681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.