Individual provider Active NPI

Brian Shachar Nadav, M.D.

  • Diagnostic Radiology Physician
  • Sherman Oaks, CA
National Provider Identifier
1972887271
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
120564 Issued in CA
Practice address
4501 Vista del Monte Ave Apt 1
Sherman Oaks, CA 91403-6421
Phone
(714) 476-3801
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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 120564 CA Primary

Addresses

Primary practice location

4501 Vista del Monte Ave Apt 1
Sherman Oaks, CA 91403-6421

Mailing address

4501 Vista del Monte Ave Apt 1
Sherman Oaks, CA 91403-6421
Phone (714) 476-3801

Other names 1

  • Shachar Brian Nadav Other name

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
I20161019002438 CA Practitioner - Diagnostic Radiology 4688962954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Practice addresses (Care Compare)

1306 Maricopa Hwy
Ojai, CA 93023-3131
Phone (805) 646-1401

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2872

2050 Viborg Rd
Solvang, CA 93463-2220
Phone (800) 841-4236

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5655

2320 Bath St
Suite 113
Santa Barbara, CA 93105-4339
Phone (805) 682-7744

351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone (805) 681-6406

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

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
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120564CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jul 27, 2016 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 14, 2019 Accepting new patients
Peripheral Vascular Institute, Inc. a Podiatry Corp CurrentSince Jun 25, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients

Locations

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

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

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

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

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

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

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 861-2200

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

2100 Solar Dr
Ste 103
Oxnard, CA 93036
Phone (805) 293-6436

Dept LA 21738
Pasadena, CA 91185

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

2320 Bath St
Ste 208
Santa Barbara, CA 93105

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2705 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 861-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1972887271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 VISTA DEL MONTE AVE APT 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036421",
            "telephone_number": "714-476-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 VISTA DEL MONTE AVE APT 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036421",
            "telephone_number": "714-476-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAV",
        "first_name": "BRIAN",
        "middle_name": "SHACHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "120564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHACHAR",
            "last_name": "NADAV",
            "middle_name": "BRIAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.