Organization Active NPI

Gregory R. Applegate, M.D. Inc.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
National Provider Identifier
1972686954
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GREGORY R. APPLEGATE, M.D. INC.
Practice address
6855 Noble Ave
Van Nuys, CA 91405-3729
Phone
(818) 901-0115
Fax
(818) 997-2895
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Gregory R. Applegate, M.D.NPI 1386751741
Title
Medical Director
Phone
(818) 901-0115

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6855 Noble Ave
Van Nuys, CA 91405-3729

Mailing address

PO Box 908
Orange, CA 92856-6908
Phone (818) 901-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000610 CA Part B Supplier - Clinic/Group Practice 1355369091 Receives reassigned benefits from 3 practitioners
Practice locations: Fresno, CA; Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

16300 Sand Canyon Ave
Ste 105
Irvine, CA 92618
Phone (949) 727-4485

280 S Main St
Ste 101
Orange, CA 92868

913 Alene Ave
Ridgecrest, CA 93555
Phone (760) 499-7099

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1972686954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566908",
            "telephone_number": "818-901-0115",
            "fax_number": "818-997-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053729",
            "telephone_number": "818-901-0115",
            "fax_number": "818-997-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY R. APPLEGATE, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-901-0115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.