Los Alamitos Radiology Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LOS ALAMITOS RADIOLOGY GROUP INC

Practice address

3406 Kildare CT
Burbank, CA 91504-1665

Phone

(805) 375-8804

Fax

(770) 237-1429

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent S. Polek, MD

Title

Ceo/President

Phone

(805) 375-8804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • Los Alamitos, CA
  • NPI 1427005024

  O20060816000607

  Same enrollment
• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1689221103

  O20060816000607

  Same enrollment
• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • The Sea Ranch, CA
  • NPI 1861975203

  O20060816000607

  Same enrollment

Practitioners 4

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.

• Atabak Allaei, M.D.

  • Vascular & Interventional Radiology Physician
  • Los Alamitos, CA
  • NPI 1720390420

  Diagnostic Radiology

  NPD
• Bradley David Hatfield, M.D.

  • Vascular & Interventional Radiology Physician
  • Mission Hills, CA
  • NPI 1073756136

  Diagnostic Radiology

  NPD
• David Bruce Jackson, M.D.

  • Diagnostic Radiology Physician
  • Chino Hills, CA
  • NPI 1063564748
  NPD
• Michael Holmes Secrist, M.D.

  • Vascular & Interventional Radiology Physician
  • Los Alamitos, CA
  • NPI 1184988669
  NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1972080356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190650",
            "telephone_number": "805-375-8804",
            "fax_number": "770-237-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 KILDARE CT",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041665",
            "telephone_number": "805-375-8804",
            "fax_number": "770-237-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMITOS RADIOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "POLEK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-375-8804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lopez, R.N.
• William Brian Lopez, PHARMD
• Mackayla Lor
• Lorah L Joe Inc
• Omar Bruce Lorente, LMFT
• Los Angeles County Department of Mental Health (Burbank Mental Health Evaluation Team)
• Los Angeles Food Allergy Institute, Inc. (AllergyDox)
• Los Angeles Hematology-Oncology Medical Group
• Los Angeles Institute of Foot and Ankle Surgery, Inc.
• Los Angeles Iop Center Inc

• Diagnostic Radiology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.

Verify at the official NPI Registry.