BEVERLY RADIOLOGY MEDICAL GROUP NPI 1124072707

NPI Information

NPI: 1124072707
Provider Name: BEVERLY RADIOLOGY MEDICAL GROUP

Doing Business As: CAMARILLO IMAGING CENTER MEDICAL GROUP

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3901 LAS POSAS RD
SUITE 104
CAMARILLO, CA
ZIP 93010
Phone: (805) 389-9657
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BEVERLY RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Camarillo, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BEVERLY RADIOLOGY MEDICAL GROUP NPI is 1124072707. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Camarillo Imaging Center Medical Group.

The provider's business location address is:

3901 LAS POSAS RD
SUITE 104
CAMARILLO, CA
ZIP 93010-501
Phone: (805) 389-9657
Fax: (805) 389-3218

The provider's authorized official is Howard G Berger .
The authorized official title is President and has the following contact phone number (310) 445-2800.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ55194Z	OTHER	CALIFORNIA	BLUE SHIELD
2	GR0081050	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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