MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA
NPI 1700907433
Radiology - Diagnostic Radiology in Santa Monica, CA
About Medical Imaging Center Of Southern California NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA (NPI 1700907433) is a healthcare organization registered as a diagnostic radiology in Santa Monica, California and active in the NPI registry since April 2007. The organization lists Dairzette Layne, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Imaging Center Of Southern California is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Medical Imaging Center Of Southern California, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (16)
Santa Monica, CA 90403
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 Medical Imaging Center Of Southern California's NPI number?
The NPI number for Medical Imaging Center Of Southern California is 1700907433. It was assigned to this organization in the NPPES registry on April 2, 2007.
Where is Medical Imaging Center Of Southern California located?
Medical Imaging Center Of Southern California is located at 2827 Wilshire Blvd, Santa Monica, CA 90403. The listed phone number is (310) 829-9788.
What is Medical Imaging Center Of Southern California's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Medical Imaging Center Of Southern California enrolled in Medicare?
Yes. Medical Imaging Center Of Southern California is registered in the Medicare PECOS enrollment system.
When is Medical Imaging Center Of Southern California's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Medical Imaging Center Of Southern California?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 7 Medicare specialties reassign their Medicare billing to Medical Imaging Center Of Southern California. 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 (8), Cardiovascular Disease (Cardiology) (3) and Cardiac Surgery (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medical Imaging Center Of Southern California was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Medical Imaging Center Of Southern California · NPI 1700907433
Diagnostic Radiology organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1700907433 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Dairzette Layne, BILLING MANAGER
## Practice location
- **Address:** 2827 WILSHIRE BLVD, Santa Monica, CA 90403-4801
- **Phone:** (310) 829-9788 · **Fax:** (310) 453-1576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (8), Cardiovascular Disease (Cardiology) (3), Cardiac Surgery (1); 4 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other ZZZ15575Z (CA); Other 123448 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1700907433) · Data from the CMS NPPES public registry.