BEVERLY RADIOLOGY MEDICAL GROUP III – NPI #1093998122
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BEVERLY RADIOLOGY MEDICAL GROUP III is a radiologist located in PASADENA, CA. NPPES has assigned the NPI number 1093998122 to BEVERLY RADIOLOGY MEDICAL GROUP III on December 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 2 years ago on Apr 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLY RADIOLOGY MEDICAL GROUP III below.

NPI Profile for
BEVERLY RADIOLOGY MEDICAL GROUP III

NPI Number
1093998122
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEVERLY RADIOLOGY MEDICAL GROUP III
Primary location
630 S RAYMOND AVE UNIT 210
PASADENA, CA 91105-3283
Phone: (818) 616-6538 Fax: (818) 342-0303
Mailing address
PO BOX 101418
PASADENA, CA 91189-0025
Phone: (844) 866-2718 Fax:
Organization Subpart
No
Authorized Official
HOWARD BERGER
PRESIDENT / CEO
Phone: (310) 445-2800
Updated
Certification Date
Jan 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.