Individual provider Active NPI

Mark Beller, M.D.

  • Diagnostic Radiology Physician
  • Lancaster, CA
National Provider Identifier
1982660387
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A61611 Issued in CA
Practice address
1600 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 949-5000
NPI assigned
Apr 25, 2006
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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 A61611 CA Primary

Addresses

Primary practice location

1600 W Avenue J
Lancaster, CA 93534-2814

Mailing address

PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940

Other identifiers 1

IdentifierTypeStateIssuer
00A616110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040205000630 CA Practitioner - Diagnostic Radiology 2769375591 Reassigns benefits to 10 organizations
I20181003002024 HI Practitioner - Diagnostic Radiology 2769375591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

11740 Wilshire Blvd
Apt A1906
Los Angeles, CA 90025-6536
Phone (408) 866-4075

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (818) 639-2901

130 Kahoma Village Loop
Lahaina, HI 96761-2763
Phone (818) 639-2901

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1600 W Ave J
Lancaster, CA 93534-2814
Phone (818) 435-1433

221 Mahalani St
Wailuku, HI 96793-2526
Phone (818) 639-2901

31 Kerley CT
Walnut Creek, CA 94598-4865
Phone (408) 866-4075

623 Elepaio St
Honolulu, HI 96816-4707
Phone (866) 579-1110

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

6729 Monte Rd
San Luis Obispo, CA 93401-8050
Phone (408) 866-4075

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4075

Hospital & facility affiliations

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
61611CAMDPharmacist
A61611CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Feb 1, 2025 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince May 11, 2013 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Feb 14, 2025 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 29, 2014 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
City of Hope Medical Foundation CurrentSince Dec 15, 2025 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Mar 29, 2014 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 50)

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

501 S Buena Vista St
Ste 1N
Burbank, CA 91505

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 600
Los Angeles, CA 90027
Phone (323) 665-5600

1300 N Vermont Ave
Ste 907
Los Angeles, CA 90027
Phone (213) 413-3000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

13160 Mindanao Way
Ste 175
Marina del Rey, CA 90292
Phone (310) 305-4500

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1982660387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-949-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLER",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A61611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A616110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.