CENTRAL MEDICAL GROUP – NPI #1639924319
Radiology

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

Health Care Provider Taxonomy Code for Radiology

CENTRAL MEDICAL GROUP is a radiologist located in GLENDALE, CA. NPPES has assigned the NPI number 1639924319 to CENTRAL MEDICAL GROUP on April 17, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 CENTRAL MEDICAL GROUP below.

NPI Profile for
CENTRAL MEDICAL GROUP

NPI Number
1639924319
Enumeration Date

(more than 2 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
CENTRAL MEDICAL GROUP
Primary location
710 S CENTRAL AVE STE 310
GLENDALE, CA 91204-4641
Phone: (747) 215-6350 Fax: (747) 215-6242
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICHOLAS DZEBOLO
MDICAL DIRECTOR
Phone: (747) 215-6350
Updated
Certification Date
Apr 17, 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)
2085R0204X
- Radiology / Vascular & Interventional Radiology
207UN0901X
- Nuclear Medicine / Nuclear Cardiology

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.