NPIMap

Organization Active NPI

Western Imaging Center

Doing business as Western Imaging, Culver City

  • Diagnostic Radiology Physician
  • Culver City, CA
National Provider Identifier
1972696680
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WESTERN IMAGING CENTER
Doing business as
Western Imaging, Culver City
Practice address
9808 Venice Blvd.
2ND Floor
Culver City, CA 90232
Phone
(310) 836-4700
Fax
(310) 836-6925
NPI assigned
Oct 2, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN DIAGNOSTIC & THERAPEUTIC RADIOLOGY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. John N Loizeaux-Witte, M.D.
Title
Medical Director
Phone
(310) 836-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

9808 Venice Blvd.
2ND Floor
Culver City, CA 90232

Mailing address

9808 Venice Blvd.
2ND Floor
Culver City, CA 90232
Phone (310) 836-4700

Other identifiers 2

IdentifierTypeStateIssuer
CN3905OtherCARAILROAD MEDICARE PIN
GR0017072MedicaidCA

Other names 1

  • Western Imaging, Culver City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Radiol Ogi2 organizations share this tax ID, including this one
Part of
Western Radiol Ogi

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9808 Venice Blvd
Fl 2
Culver City, CA 90232
Phone (310) 836-4700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1972696680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD.",
            "address_2": "2ND FLOOR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90232",
            "telephone_number": "310-836-4700",
            "fax_number": "310-836-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD.",
            "address_2": "2ND FLOOR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90232",
            "telephone_number": "310-836-4700",
            "fax_number": "310-836-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN IMAGING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN DIAGNOSTIC & THERAPEUTIC RADIOLOGY MEDICAL GROUP",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "LOIZEAUX-WITTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-836-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CN3905",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0017072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Imaging, Culver City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.