KECK MEDICINE OF USC IMAGING CENTERS, LLC
NPI 1669292405
Clinic/Center - Radiology in Pasadena, CA
About Keck Medicine Of Usc Imaging Centers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KECK MEDICINE OF USC IMAGING CENTERS, LLC (NPI 1669292405) is a healthcare organization registered as a radiology in Pasadena, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jeremy Church, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keck Medicine Of Usc Imaging Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Keck Medicine Of Usc Imaging Centers, LLC, which bills Medicare for the services they deliver. Of these, 36 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 70Los Angeles, CA 90033
Los Angeles, CA 90033
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2333011
Keck Medicine Of Usc Imaging Centers, LLC · Pasadena, CAFrequently 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 Keck Medicine Of Usc Imaging Centers, LLC's NPI number?
The NPI number for Keck Medicine Of Usc Imaging Centers, LLC is 1669292405. It was assigned to this organization in the NPPES registry on October 16, 2024.
Where is Keck Medicine Of Usc Imaging Centers, LLC located?
Keck Medicine Of Usc Imaging Centers, LLC is located at 590 S Fair Oaks Ave Ste 143, Pasadena, CA 91105. The listed phone number is (626) 517-8676.
What is Keck Medicine Of Usc Imaging Centers, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Keck Medicine Of Usc Imaging Centers, LLC enrolled in Medicare?
Yes. Keck Medicine Of Usc Imaging Centers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keck Medicine Of Usc Imaging Centers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 3 Medicare specialties reassign their Medicare billing to Keck Medicine Of Usc Imaging Centers, LLC. 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. The largest specialties are Diagnostic Radiology (59), Interventional Radiology (6) and Nuclear Medicine (5). Of these, 36 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keck Medicine Of Usc Imaging Centers, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2333011) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Keck Medicine Of Usc Imaging Centers, LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Keck Medicine Of Usc Imaging Centers, Llc · NPI 1669292405
Radiology organization in Pasadena, California. Organization record, active in the CMS NPPES registry since October 16, 2024.
## Identity
- **NPI:** 1669292405 (Entity type: Organization)
- **Enumerated:** October 16, 2024
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Jeremy Church, CFO
## Practice location
- **Address:** 590 S FAIR OAKS AVE STE 143, Pasadena, CA 91105-2614
- **Phone:** (626) 517-8676 · **Fax:** (626) 517-8677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (59), Interventional Radiology (6), Nuclear Medicine (5); 36 practice within 10 miles; [full list](https://npiprofile.com/npi/1669292405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669292405) · Data from the CMS NPPES public registry.