DR. DAVID ISHIMITSU M.D.
NPI 1497919641
Radiology - Diagnostic Radiology in Los Angeles, CA
NPI Status: Active since July 17, 2008
Contact Information
8700 BEVERLY BLVD
TAPER M335
LOS ANGELES, CA
ZIP 90048
Phone: (310) 423-3419
Fax: (310) 423-8335
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Years of Experience 21
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DAVID ISHIMITSU
This page provides the complete NPI Profile along with additional information for David Ishimitsu, a provider established in Los Angeles, California with a medical specialization in Radiology, focusing in diagnostic radiology and more than 21 years of experience. He graduated from University Of Hawaii John A. Burns School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1497919641 assigned on July 2008. The practitioner's primary taxonomy code is 2085R0202X with license number A99383 (CA). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1497919641
- Provider Name
- DR. DAVID ISHIMITSU M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8700 BEVERLY BLVD TAPER M335 LOS ANGELES, CA 90048
- Location Phone
- (310) 423-3419
- Location Fax
- (310) 423-8335
- Mailing Address
- 8700 BEVERLY BLVD TAPER M335 LOS ANGELES, CA 90048
- Mailing Phone
- (310) 423-3419
- Mailing Fax
- (310) 423-8335
- Medical School Name
- UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-17-2008
- Last Update Date
- 08-18-2025
- Code Navigator
Location Map
Secondary Locations
- 4755 Ogletown Stanton Rd
Newark, DE 19718
(302) 733-1840 - 8201 E Riverside Blvd
Rockford, IL 61114
(815) 971-7000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A99383
- License State
- CA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | C1-0025748 (DE) |
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 036.154783 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
David Ishimitsu is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
David Ishimitsu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3173783057
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120330000202, I20200911001470, I20200924002219, I20210220000157, I20211005003559, I20221115000982, I20240827000190
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of chest without contrast
Limited ultrasound scan of abdomen
X-ray of abdomen, 1 view
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of hip, 2-3 views
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 61 times for 61 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 83 times for 82 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 24 times for 24 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 72 times for 72 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 22 times for 22 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 42 times for 42 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 15 times for 15 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 20 times for 20 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 11 times for 11 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 49 times for 49 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 17 times for 17 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 11 times for 11 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 28 times for 27 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 308 times for 292 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 36 times for 35 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 19 times for 19 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.09 for a new patient copayment and $19.49 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90048 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Ishimitsu is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HUMBOLDT PARK HEALTH | 1044 N FRANCISCO AVE CHICAGO, IL 60622 | (773) 292-8200 | Acute Care Hospitals | |
| MCLAREN NORTHERN MICHIGAN | 416 CONNABLE AVE PETOSKEY, MI 49770 | (231) 487-4000 | Acute Care Hospitals | |
| BROOKDALE HOSPITAL MEDICAL CENTER | 1 BROOKDALE PLAZA BROOKLYN, NY 11212 | (718) 240-5966 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 9 | 1 | 9 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 18 | 1 | 18 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 8 + 1 + 1 + 8 + 6 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1497919641 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013910983 | DENISE A BARBUTO M.D. Individual | Specialist | 8700 BEVERLY BLVD RM 8725 WEST HOLLYWOOD, CA 90048 (310) 423-6627 |
| 1619979762 | STEPHEN A GELLER M.D. Individual | Specialist | 8700 BEVERLY BLVD RM 8725 WEST HOLLYWOOD, CA 90048 (310) 423-6627 |
| 1275539462 | JULIAN A GOLD M.D. Individual | Anesthesiology | 8700 BEVERLY BLVD # 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1396742904 | JEAN MARIE LOPATEGUI MD Individual | Specialist | 8700 BEVERLY BLVD ROOM 8725 WEST HOLLYWOOD, CA 90048 (818) 338-8103 |
| 1306843610 | ANN E WALTS MD Individual | Specialist | 8700 BEVERLY BLVD ROOM 8725 WEST HOLLYWOOD, CA 90048 (818) 338-8103 |
| 1659378057 | PREMI THOMAS ME Individual | Specialist | 8700 BEVERLY BLVD ROOM 8725 WEST HOLLYWOOD, CA 90048 (818) 338-8103 |
| 1669479614 | SIJAN WANG MD Individual | Specialist | 8700 BEVERLY BLVD ROOM 8725 WEST HOLLYWOOD, CA 90048 (818) 338-8103 |
| 1457359176 | WADE YOSHII MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1710985437 | RUKAIYA HAMID MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1851398606 | ROBERT KARIGER MD Individual | Anesthesiology | 8700 BEVERLY BLVD 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1396742177 | JEFFREY DEAN MOSES MD Individual | Anesthesiology | 8700 BEVERLY BLVD #8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1114924990 | JOSEPH STONE MD Individual | Anesthesiology | 8700 BEVERLY BLVD #8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1659379295 | PAUL A CARLTON MD Individual | Anesthesiology | 8700 BEVERLY BLVD 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1013915669 | HOWARD L ROSNER M.D. Individual | Anesthesiology (Pain Medicine) | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1649278243 | FRANK LIU MD Individual | Anesthesiology | 8700 BEVERLY BLVD 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1609874114 | WILLIAM RASMUS MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1174521520 | ARNOLD FRIEDMAN MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1801894266 | MAURY BARTH MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1265430623 | DAVID CHOI MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
| 1295733657 | ROBERT ROGERS MD Individual | Anesthesiology | 8700 BEVERLY BLVD SUITE 8211 WEST HOLLYWOOD, CA 90048 (213) 637-3703 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497919641, enumerated in the NPI registry as an "individual" on July 17, 2008
The provider is located at 8700 Beverly Blvd Taper M335 Los Angeles, Ca 90048 and the phone number is (310) 423-3419
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 21 years of experience. He graduated from University Of Hawaii John A. Burns School Of Medicine in 2005.
The provider might be accepting Accepts: Aetna CVS Health, Blue Care Network of Michigan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of chest without contrast, Limited ultrasound scan of abdomen, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views and X-ray of hip, 2-3 views.
The practitioner is affiliated to the following hospital(s): HUMBOLDT PARK HEALTH, MCLAREN NORTHERN MICHIGAN and BROOKDALE HOSPITAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 17, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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