MICHAEL LEWIS BLACK M.D. NPI 1780620955

NPI Information

  • NPI: 1780620955
  • Provider Name: MICHAEL LEWIS BLACK, M.D.
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N TUSTIN AVE
    SANTA ANA, CA
    ZIP 92705
  • Phone: (714) 835-6055

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NPI Details

Michael Lewis Black, M.D. is a neuroradiology radiology in Santa Ana, CA with 44 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Michael Lewis Black, M.D. NPI is 1780620955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1982

The provider's business location address is:

1100 N TUSTIN AVE
SANTA ANA, CA
ZIP 92705-509
Phone: (714) 835-6055
Fax: (714) 835-3287

The NPI 1780620955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of leg without contrast (HCPCS:73700)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 5/8/2014.

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
12085B0100XRadiologyBody ImagingG55416CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyG55416CALIFORNIANo
32085U0001XRadiologyDiagnostic UltrasoundG55416CALIFORNIANo
42085N0700XRadiologyNeuroradiologyG55416CALIFORNIAYes

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
1WG55416MEDICARE ID-TYPE UNSPECIFIED
200G554160MEDICAIDCALIFORNIA
3E39086MEDICARE UPIN

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: 11/21/2025

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