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CVS MEDICAL GROUP, INC
NPI 1346717824
Radiology - Vascular & Interventional Radiology in Montebello, CA

Active since November 01, 2018
1417 W BEVERLY BLVD STE 106, MONTEBELLO, CA 90640(626) 657-8002(323) 900-0567 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2024, Nov 1, 2018 (2 updates tracked since 2018).

About Cvs Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS MEDICAL GROUP, INC (NPI 1346717824) is a healthcare organization registered as a vascular & interventional radiology in Montebello, California and active in the NPI registry since November 2018. The organization lists Jeanette O Espinosa, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1346717824
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCVS MEDICAL GROUP, INC
Location Address1417 W BEVERLY BLVD STE 106Montebello, CA 90640-4125
Mailing Address201 W Garvey Ave Ste 102-502Monterey Park, CA 91754-7418 · (626) 425-3946 · Fax (323) 900-0567
Phone(626) 657-8002
Fax(323) 900-0567
Organization SubpartNo
Authorized OfficialJeanette O EspinosaOffice Manager · (626) 425-3946
Enumeration DateNovember 1, 2018
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1346717824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1417 W BEVERLY BLVD STE 106, Montebello, CA 90640
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to CVS Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Salar Hakham, D.O.
Vascular Surgery
NPI 1386960854
1417 W BEVERLY BLVD STE 106
Montebello, CA 90640
(310) 242-0919
✔ PECOS✔ Accepts MedicareSame address
Victor Shi, M.D.
Interventional Radiology
NPI 1770857427
1417 W BEVERLY BLVD STE 106
Montebello, CA 90640
(626) 657-8002
✔ PECOS✔ Accepts MedicareSame address
Norris Morrison, DPM
Podiatry
NPI 1790098218
18225 OUTER HWY 18
Apple Valley, CA 92307
(760) 242-4199
✔ PECOS✔ Accepts Medicare60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is CVS Medical Group, Inc's NPI number?

The NPI number for CVS Medical Group, Inc is 1346717824. It was assigned to this organization in the NPPES registry on November 1, 2018.

Where is CVS Medical Group, Inc located?

CVS Medical Group, Inc is located at 1417 W Beverly Blvd Ste 106, Montebello, CA 90640. The listed phone number is (626) 657-8002.

What is CVS Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is CVS Medical Group, Inc enrolled in Medicare?

Yes. CVS Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through CVS Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to CVS Medical Group, Inc, in Interventional Radiology, Podiatry and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for CVS Medical Group, Inc was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.