BEVERLY RADIOLOGY MEDICAL GROUP III
NPI 1962457812
Radiology - Diagnostic Radiology in Los Angeles, CA

Q: What is Beverly Radiology Medical Group III's NPI number?

The NPI number for Beverly Radiology Medical Group III is 1962457812. It was assigned to this organization in the NPPES registry on May 22, 2006.

Q: What is Beverly Radiology Medical Group III's specialty?

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

Active since May 22, 2006

1510 COTNER AVE, LOS ANGELES, CA 90025(310) 445-2951(310) 479-1459 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2025, Jul 10, 2017, May 17, 2017 (3 updates tracked since 2017).

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About Beverly Radiology Medical Group Iii NPPES

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

BEVERLY RADIOLOGY MEDICAL GROUP III (NPI 1962457812) is a healthcare organization registered as a diagnostic radiology in Los Angeles, California and active in the NPI registry since May 2006. The organization lists Howard G. Berger, Ceo & President, as its authorized official.

NPPES Registry Identity

NPI1962457812

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameBEVERLY RADIOLOGY MEDICAL GROUP III

Location Address1510 COTNER AVELos Angeles, CA 90025-3303

Mailing Address1510 Cotner Ave.Los Angeles, CA 90025-3303 · (310) 445-2800 · Fax (310) 479-1459

Phone(310) 445-2951

Fax(310) 479-1459

Organization SubpartNo

Authorized OfficialHoward G. BergerCeo & President · (310) 445-2800

Enumeration DateMay 22, 2006

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1962457812 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.

1510 COTNER AVE, Los Angeles, CA 90025

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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)

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

Clinicians Billing Medicare Through This Organization

478

Medicare enrollment records show 478 clinicians reassign Medicare billing to Beverly Radiology Medical Group III, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Diagnostic Radiology445

Interventional Radiology14

Nuclear Medicine7

Vascular Surgery5

Cardiovascular Disease (Cardiology)3

General Practice2

Neurology1

Obstetrics/Gynecology1

Nearest to this location (20)

See all 478

Matthew Benjamin, MD

Diagnostic Radiology

NPI 1871390575

1510 COTNER AVE
Los Angeles, CA 90025

(310) 445-2800

✔ PECOS✔ Accepts MedicareSame address

Joshua Davis, MD

Diagnostic Radiology

NPI 1649701459

1510 COTNER AVE
Los Angeles, CA 90025

(219) 241-2112

✔ PECOS✔ Accepts MedicareSame address

Joshua Rosengarten, MD

Diagnostic Radiology

NPI 1467077255

1510 COTNER AVE
Los Angeles, CA 90025

(310) 445-2800

✔ PECOSSame address

Tanya Kisler, MD

Diagnostic Radiology

NPI 1609076892

1510 COTNER RD
Los Angeles, CA 90025

(310) 445-2800

✔ PECOS✔ Accepts MedicareSame address

Vanja Varenika, M.D.

Diagnostic Radiology

NPI 1942576681

1510 COTNER AVE
Los Angeles, CA 90025

(585) 218-8007

✔ PECOS✔ Accepts MedicareSame address

Suzanne Bash, MD

Diagnostic Radiology

NPI 1417998253

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

John Crues, M.D

Diagnostic Radiology

NPI 1255333480

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Vincent Fennell, MD

Diagnostic Radiology

NPI 1497798839

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Steven Kapelov, MD

Diagnostic Radiology

NPI 1982642690

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Reza Pordell, MD

Diagnostic Radiology

NPI 1598797375

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2800

✔ PECOS✔ Accepts MedicareSame address

Charles Schatz, MD

Diagnostic Radiology

NPI 1366472748

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Ana Shah, DO

Diagnostic Radiology

NPI 1235249871

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2800

✔ PECOS✔ Accepts MedicareSame address

Douglas Tait, MD

Diagnostic Radiology

NPI 1447367636

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Allan Wagman, MD

Diagnostic Radiology

NPI 1386626729

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Vijendra Rao, MD

Nuclear Medicine

NPI 1699799833

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOS✔ Accepts MedicareSame address

Nastaran Fatemi, MD

Diagnostic Radiology

NPI 1861430373

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2951

✔ PECOSSame address

Steven Henderson, MD

Diagnostic Radiology

NPI 1023033271

1516 COTNER AVE
Los Angeles, CA 90025

(310) 445-2800

✔ PECOS✔ Accepts MedicareSame address

Douglas Brown, M.D.

Diagnostic Radiology

NPI 1851317549

11620 WILSHIRE BLVD STE. 100
Los Angeles, CA 90025

(310) 914-7336

✔ PECOS✔ Accepts Medicare0.7 mi

Azita Behrashi, MD

Diagnostic Radiology

NPI 1285688010

10833 LE CONTE AVE
Los Angeles, CA 90095

(310) 301-6800

✔ PECOS✔ Accepts Medicare1.1 mi

Gagandeep Choudhary, MBBS

Nuclear Medicine

NPI 1487094157

8750 WILSHIRE BLVD STE 100
Beverly Hills, CA 90211

(310) 698-3100

✔ PECOS✔ Accepts Medicare3.9 mi

See all 478 clinicians

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 Beverly Radiology Medical Group III's NPI number?

The NPI number for Beverly Radiology Medical Group III is 1962457812. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Beverly Radiology Medical Group III located?

Beverly Radiology Medical Group III is located at 1510 Cotner Ave, Los Angeles, CA 90025. The listed phone number is (310) 445-2951.

What is Beverly Radiology Medical Group III's specialty?

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

Is Beverly Radiology Medical Group III enrolled in Medicare?

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

How many clinicians bill Medicare through Beverly Radiology Medical Group III?

According to the CMS Revalidation Reassignment List (October 2026 release), 478 clinicians in 8 Medicare specialties reassign their Medicare billing to Beverly Radiology Medical Group III. 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 (445), Interventional Radiology (14) and Nuclear Medicine (7). Of these, 17 practice at this address and 106 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 Beverly Radiology Medical Group III was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.