Active NPI
Beverly Hills Medical Imaging
- Diagnostic Radiology Physician
- Beverly Hills, CA
National Provider Identifier
1942713482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BEVERLY HILLS MEDICAL IMAGING
- Practice address
- 50 N la Cienega Blvd
Suite 100
Beverly Hills, CA 90211 - Phone
- (510) 953-4099
- Fax
- (510) 792-9701
- NPI assigned
- Nov 7, 2017
- Last updated
- Nov 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Puneet Kumar Chandak, MD
- Title
- Ceo/President
- Phone
- (510) 953-4099
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
50 N la Cienega Blvd
Suite 100
Beverly Hills, CA 90211
Mailing address
39120 Argonaut Way
Box 827
Fremont, CA 94538-1304
Phone (510) 792-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Nuclear Medicine Physician
- Fremont, CA
- NPI 1043276900
-
- Family Medicine Physician
- Beverly Hills, CA
- NPI 1821529959
-
- Nuclear Imaging & Therapy Physician
- Fremont, CA
- NPI 1699751222
-
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1306106125
-
- Vascular & Interventional Radiology Physician
- Royal Oak, MI
- NPI 1952315699
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1598785594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510012800000",
"number": "1942713482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39120 ARGONAUT WAY",
"address_2": "BOX 827",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381304",
"telephone_number": "510-792-9700",
"fax_number": "510-792-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N LA CIENEGA BLVD",
"address_2": "SUITE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "510-953-4099",
"fax_number": "510-792-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS MEDICAL IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A",
"authorized_official_last_name": "CHANDAK",
"authorized_official_first_name": "PUNEET",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "510-953-4099",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Beverly Hills Lasky Surgicenter (Beverly Hills Lasky Clinic Surgery Center)
- Beverly Hills Magnetic Imaging
- Beverly Hills Marriage and Family Therapy Center, Inc.
- Beverly Hills Medical Center
- Beverly Hills Medical Center for Cosmetic Surgery Inc
- Beverly Hills Medical Suite Inc
- Beverly Hills Migraine and Pain Management Institute, Inc
- Beverly Hills Multispecialty Surgical Center, LLC
- Beverly Hills Nephrology Medical Group
- Beverly Hills Oncology Medical Group Inc (Beverly Hills Cancer Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.