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CENTINELA RADIOLOGY MEDICAL GROUP
NPI 1861475352
Radiology - Diagnostic Radiology in Inglewood, CA

Active since November 29, 2005
555 E HARDY ST, CENTINELA HOSPITAL MEDICAL CENTER, INGLEWOOD, CA 90301(310) 673-4660 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Centinela Radiology Medical Group NPPES

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

CENTINELA RADIOLOGY MEDICAL GROUP (NPI 1861475352) is a healthcare organization registered as a diagnostic radiology in Inglewood, California and active in the NPI registry since November 2005. The organization lists Craig J Gomberg, Partner, as its authorized official.

NPPES Registry Identity

NPI1861475352
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCENTINELA RADIOLOGY MEDICAL GROUP
Location Address555 E HARDY ST, CENTINELA HOSPITAL MEDICAL CENTERInglewood, CA 90301-4011
Mailing AddressPo Box 516068Los Angeles, CA 90051-1930 · (310) 419-0597 · Fax (714) 919-8836
Phone(310) 673-4660
Organization SubpartNo
Authorized OfficialCraig J GombergPartner · (562) 761-7479
Enumeration DateNovember 29, 2005
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1861475352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
555 E HARDY ST, Inglewood, CA 90301
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Other Identifiers 12

OtherCR0166Railroad Medicare
OtherZZZ65765ZBlue Shield
MedicaidGR0010880CA
MedicaidGR0010881CA
OtherZZZ64951ZBlue Shield
OtherZZZ64952ZBlue Shield
OtherGR0010882Caloptima
OtherGR0010883Caloptima
MedicaidGR0010883CA
MedicaidGR0010882CA
OtherGR0010881Caloptima
OtherZZZ94679ZBlue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Centinela Radiology Medical Group, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

John Braunstein, M.D.
Diagnostic Radiology
NPI 1689615437
555 E HARDY ST CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(818) 409-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Dawson, MD
Diagnostic Radiology
NPI 1497732911
555 E HARDY STREET CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Craig Gomberg, MD
Diagnostic Radiology
NPI 1184603128
555 E HARDY ST CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Andrew Kelly, MD
Diagnostic Radiology
NPI 1316920895
555 E HARDY STREET CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Ronald Kingston, MD
Diagnostic Radiology
NPI 1427034115
555 E HARDY STREET CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Donald Mayekawa, MD
Diagnostic Radiology
NPI 1518941616
555 E HARDY ST CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Arash Tehranzadeh, M.D.
Diagnostic Radiology
NPI 1275575557
555 E HARDY ST
Inglewood, CA 90301
(310) 673-4660
✔ PECOS✔ Accepts Medicare0.1 mi
Dwight Lee, MD
Diagnostic Radiology
NPI 1710149869
6801 PARK TER STE 100
Los Angeles, CA 90045
(310) 665-7200
✔ PECOS✔ Accepts Medicare3.1 mi
Ezra Fraser, M.D.
Diagnostic Radiology
NPI 1023240561
421 30TH ST
Hermosa Beach, CA 90254
(415) 902-5621
✔ PECOS6.1 mi
Sarah Khan, MD
Diagnostic Radiology
NPI 1063664753
757 WESTWOOD PLZ STE 1638
Los Angeles, CA 90095
(310) 267-8796
✔ PECOS✔ Accepts Medicare9.7 mi
Jonas Castaneda-Panuco
Diagnostic Radiology
NPI 1659799369
101 THE CITY DR S CITY TOWER SUITE 400
Orange, CA 92868
(714) 456-5691
✔ PECOS✔ Accepts Medicare29 mi
Christopher Herzig, MD
Diagnostic Radiology
NPI 1124072467
2320 BATH ST SUITE 208
Santa Barbara, CA 93105
(805) 682-7984
✔ PECOS✔ Accepts Medicare85 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 Centinela Radiology Medical Group's NPI number?

The NPI number for Centinela Radiology Medical Group is 1861475352. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is Centinela Radiology Medical Group located?

Centinela Radiology Medical Group is located at 555 E Hardy St Centinela Hospital Medical Center, Inglewood, CA 90301. The listed phone number is (310) 673-4660.

What is Centinela Radiology Medical Group's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Centinela Radiology Medical Group enrolled in Medicare?

Yes. Centinela Radiology Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centinela Radiology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Centinela Radiology Medical Group. 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, 10 practice 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 Centinela Radiology Medical Group was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.