WESTERN RADIOLOGIC MEDICAL GROUP
NPI 1700979390
Radiology - Diagnostic Radiology in Marina Del Rey, CA

NPI Status: Active since October 02, 2006

Contact Information

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 836-1574
Fax: (310) 836-6925

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  • Organization
  • Radiology
  • Diagnostic Radiology

About WESTERN RADIOLOGIC MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Western Radiologic Medical Group, a provider established in Marina Del Rey, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1700979390 assigned on October 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Western Radiologic Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Western Radiologic Medical Group. The authorized official of this NPI record is Dr. John N. Loizeaux-witte M.d. (President)

NPI
1700979390
Provider Legal Name
WESTERN DIAGNOSTIC & THERAPEUTIC RADIOLOGY MEDICAL GROUP, INC.
Other Organization Name
WESTERN RADIOLOGIC MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4640 ADMIRALTY WAY SUITE 102 MARINA DEL REY, CA 90292
Location Phone
(310) 836-1574
Location Fax
(310) 836-6925
Mailing Address
4640 ADMIRALTY WAY SUITE 102 MARINA DEL REY, CA 90292
Mailing Phone
(310) 836-1574
Mailing Fax
(310) 836-6925
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2006
Last Update Date
06-14-2012
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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 State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN N. LOIZEAUX-WITTE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 836-1574

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0017071MEDICAID (05)CA 
GR0017076MEDICAID (05)CA 
W13956MEDICARE PIN (08)CA 
GR0017072MEDICAID (05)CA 
HW13956MEDICARE PIN (08)CA 
W10112AMEDICARE PIN (08)CA 

Reviews for WESTERN RADIOLOGIC MEDICAL GROUP

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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.
1700979390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270018718318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 7 + 1 + 8 + 3 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700979390 is valid because the calculated check digit 0 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
1932153731 MAHUA BISWAS MD
Individual
Radiology (Vascular & Interventional Radiology)4640 ADMIRALTY WAY SUITE 102
MARINA DEL REY, CA 90292
(310) 836-1574
1386654721MS. WENDY J. SALZ MFT
Individual
Marriage & Family Therapist4640 ADMIRALTY WAY SUITE 318
MARINA DEL REY, CA 90292
(310) 822-0109
1528153665WESTERN IMAGING, MARINA DEL REY
Organization
Radiology (Diagnostic Radiology)4640 ADMIRALTY WAY SUITE 102
MARINA DEL REY, CA 90292
(310) 836-4700
1285789834DR. LAURA A THOMPSON M.D.
Individual
Radiology (Nuclear Radiology)4640 ADMIRALTY WAY SUITE 102
MARINA DEL REY, CA 90292
(310) 836-1574
1992850556DR. JOHN N LOIZEAUX-WITTE M.D.
Individual
Radiology (Diagnostic Radiology)4640 ADMIRALTY WAY SUITE 102
MARINA DEL REY, CA 90292
(310) 836-1574
1760528053 TINA R CROWE MSW
Individual
Social Worker (Clinical)4640 ADMIRALTY WAY SUITE 318
MARINA DEL REY, CA 90292
(310) 822-0109
1659417970 PATRICIA A ZOMBER PH.D.
Individual
Psychologist (Clinical)4640 ADMIRALTY WAY SUITE 318
MARINA DEL REY, CA 90292
(310) 822-0109
1235357070DEL REY SURGERY CENTER, INC.
Organization
Clinic/Center (Ambulatory Surgical)4640 ADMIRALTY WAY STE. 1020
MARINA DEL REY, CA 90292
(310) 305-1020
1326260597 MICHAEL HOMAYUN DDS
Individual
Dentist (Periodontics)4640 ADMIRALTY WAY SUITE 1001
MARINA DEL REY, CA 90292
(310) 821-2611
1588870422DR. CAROL JOAN WAISMAN PH.D, L.C.S.W
Individual
Social Worker4640 ADMIRALTY WAY 318
MARINA DEL REY, CA 90292
(310) 804-7798
1114178852 KATHERINE MARIE BOSWELL MFT
Individual
Marriage & Family Therapist4640 ADMIRALTY WAY SUITE 318
MARINA DEL REY, CA 90292
(310) 658-3158
1295037810DR. THOMAS MICHAEL HOOD DDS
Individual
Dentist (General Practice)4640 ADMIRALTY WAY STE. 714
MARINA DEL REY, CA 90292
(310) 821-0839
1508161167MICHELLE Z WANG MD PC
Organization
Anesthesiology4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
(310) 305-1020
1104198514DR. MARI SIAN DAVIES PHD
Individual
Clinical Neuropsychologist4640 ADMIRALTY WAY SUITE 500
MARINA DEL REY, CA 90292
(650) 479-6609
1528308459MARINA VIEW SURGERY CENTER
Organization
Clinic/Center (Ambulatory Surgical)4640 ADMIRALTY WAY SUITE 1002
MARINA DEL REY, CA 90292
(310) 300-1779
1245351865DEL REY SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)4640 ADMIRALTY WAY SUITE 1020
MARINA DEL REY, CA 90292
(310) 305-1020
1508293853ADMIRALTY SURGERY CENTER, INC
Organization
Clinic/Center (Ambulatory Surgical)4640 ADMIRALTY WAY SUITE 718B
MARINA DEL REY, CA 90292
(310) 823-4444
1952440505DR. ROBERT GREEN WATKINS III M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)4640 ADMIRALTY WAY SUITE 600
MARINA DEL REY, CA 90292
(310) 448-7890
1336288992DR. ROBERT GREEN WATKINS IV M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)4640 ADMIRALTY WAY SUITE 600
MARINA DEL REY, CA 90292
(310) 448-7890
1467575472DR. DAVID CHANG M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)4640 ADMIRALTY WAY SUITE 600
MARINA DEL REY, CA 90292
(310) 448-7890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700979390, enumerated in the NPI registry as an "organization" on October 02, 2006

The provider is located at 4640 Admiralty Way Suite 102 Marina Del Rey, Ca 90292 and the phone number is (310) 836-1574

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 02, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.