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 

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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.

MAHUA BISWAS MD

Radiology

(Vascular & Interventional Radiology)

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292

(310) 836-1574

MS. WENDY J. SALZ MFT

Marriage & Family Therapist

4640 ADMIRALTY WAY
SUITE 318
MARINA DEL REY, CA
ZIP 90292

(310) 822-0109

WESTERN IMAGING, MARINA DEL REY

Radiology

(Diagnostic Radiology)

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292

(310) 836-4700

DR. LAURA A THOMPSON M.D.

Radiology

(Nuclear Radiology)

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292

(310) 836-1574

DR. JOHN N LOIZEAUX-WITTE M.D.

Radiology

(Diagnostic Radiology)

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292

(310) 836-1574

TINA R CROWE MSW

Social Worker

(Clinical)

4640 ADMIRALTY WAY
SUITE 318
MARINA DEL REY, CA
ZIP 90292

(310) 822-0109

PATRICIA A ZOMBER PH.D.

Psychologist

(Clinical)

4640 ADMIRALTY WAY
SUITE 318
MARINA DEL REY, CA
ZIP 90292

(310) 822-0109

DEL REY SURGERY CENTER, INC.

Clinic/Center

(Ambulatory Surgical)

4640 ADMIRALTY WAY
STE. 1020
MARINA DEL REY, CA
ZIP 90292

(310) 305-1020

MICHAEL HOMAYUN DDS

Dentist

(Periodontics)

4640 ADMIRALTY WAY
SUITE 1001
MARINA DEL REY, CA
ZIP 90292

(310) 821-2611

DR. CAROL JOAN WAISMAN PH.D, L.C.S.W

Social Worker

4640 ADMIRALTY WAY
318
MARINA DEL REY, CA
ZIP 90292

(310) 804-7798

KATHERINE MARIE BOSWELL MFT

Marriage & Family Therapist

4640 ADMIRALTY WAY
SUITE 318
MARINA DEL REY, CA
ZIP 90292

(310) 658-3158

DR. THOMAS MICHAEL HOOD DDS

Dentist

(General Practice)

4640 ADMIRALTY WAY
STE. 714
MARINA DEL REY, CA
ZIP 90292

(310) 821-0839

MICHELLE Z WANG MD PC

Anesthesiology

4640 ADMIRALTY WAY
MARINA DEL REY, CA
ZIP 90292

(310) 305-1020

DR. MARI SIAN DAVIES PHD

Clinical Neuropsychologist

4640 ADMIRALTY WAY
SUITE 500
MARINA DEL REY, CA
ZIP 90292

(650) 479-6609

MARINA VIEW SURGERY CENTER

Clinic/Center

(Ambulatory Surgical)

4640 ADMIRALTY WAY
SUITE 1002
MARINA DEL REY, CA
ZIP 90292

(310) 300-1779

DEL REY SURGERY CENTER LLC

Clinic/Center

(Ambulatory Surgical)

4640 ADMIRALTY WAY
SUITE 1020
MARINA DEL REY, CA
ZIP 90292

(310) 305-1020

ADMIRALTY SURGERY CENTER, INC

Clinic/Center

(Ambulatory Surgical)

4640 ADMIRALTY WAY
SUITE 718B
MARINA DEL REY, CA
ZIP 90292

(310) 823-4444

DR. ROBERT GREEN WATKINS III M.D.

Orthopaedic Surgery

(Orthopaedic Surgery of the Spine)

4640 ADMIRALTY WAY
SUITE 600
MARINA DEL REY, CA
ZIP 90292

(310) 448-7890

DR. ROBERT GREEN WATKINS IV M.D.

Orthopaedic Surgery

(Orthopaedic Surgery of the Spine)

4640 ADMIRALTY WAY
SUITE 600
MARINA DEL REY, CA
ZIP 90292

(310) 448-7890

DR. DAVID CHANG M.D.

Orthopaedic Surgery

(Orthopaedic Surgery of the Spine)

4640 ADMIRALTY WAY
SUITE 600
MARINA DEL REY, CA
ZIP 90292

(310) 448-7890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700979390, enumerated 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.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.