| NPI | 1114112372 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-09-11 |
| Last Updated | 2015-10-13 |
| Authorized Official | Howard Berger President Phone: 3104452851 |
| Mailing Address | 1510 Cotner Ave Los Angeles, CA 90025-3303 United States Phone: (310) 445-2851 | Fax: (310) 479-1459 📍 View Map |
| Primary Practice Address | 17260 Bear Valley Rd, Suite 109 Victorville, CA 92395-7777 United States Phone: (310) 445-2851 | Fax: (310) 479-1459 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | — | — |
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About NPI 1114112372
Beverly Radiology Medical Group Iii is an organization registered in the CMS NPPES NPI Registry with NPI number 1114112372. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Victorville, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-09-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114112372?
NPI 1114112372 belongs to Beverly Radiology Medical Group Iii, a Radiology, Diagnostic Radiology in Victorville, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114112372 active?
The current status of NPI 1114112372 in the NPPES registry is Active. The record was last updated on 2015-10-13.
What specialty is NPI 1114112372?
NPI 1114112372 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114112372?
You can verify NPI 1114112372 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114112372?
The primary practice address on file for NPI 1114112372 is 17260 Bear Valley Rd, Victorville, CA 92395-7777. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114112372 issued?
NPI 1114112372 was first issued (enumerated) on 2007-09-11. The NPPES record was last updated on 2015-10-13.
Practice Location Map
Beverly Radiology Medical Group Iii is located at 17260 Bear Valley Rd, Victorville, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Beverly Radiology Medical Group Iii. All records sourced from the CMS NPPES registry.