CAMARILLO IMAGING CENTER MEDICAL GROUP – NPI #1124072707
Radiology

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

CAMARILLO IMAGING CENTER MEDICAL GROUP is a radiologist located in CAMARILLO, CA. NPPES has assigned the NPI number 1124072707 to CAMARILLO IMAGING CENTER MEDICAL GROUP on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAMARILLO IMAGING CENTER MEDICAL GROUP” is a dba name, the actual legal business name for this organization is BEVERLY RADIOLOGY MEDICAL GROUP. 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 6 years ago on Aug 22, 2020. 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 CAMARILLO IMAGING CENTER MEDICAL GROUP below.

NPI Profile for
BEVERLY RADIOLOGY MEDICAL GROUP

NPI Number
1124072707
Enumeration Date

(more than 20 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
Doing Business As (dba): CAMARILLO IMAGING CENTER MEDICAL GROUP
Primary location
3901 LAS POSAS RD
SUITE 104
CAMARILLO, CA 93010-1501
Phone: (805) 389-9657 Fax: (805) 389-3218
Mailing address
PO BOX 240086
LOS ANGELES, CA 90024-9186
Phone: (310) 445-2800 Fax: (310) 445-2816
Organization Subpart
No
Authorized Official
HOWARD BERGER
PRESIDENT
Phone: (310) 445-2800
Updated
Identifiers

Identifiers for CAMARILLO IMAGING CENTER MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ55194Z
MEDICAIDCAGR0081050
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.