| Gregory T Vanley, MD | |
|
1045 Atlantic Ave, Suite 105, Long Beach, CA 90813 | |
| (562) 491-9167 | |
| (562) 491-7969 |
| Full Name | Gregory T Vanley |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 48 Years |
| Location | 1045 Atlantic Ave, Long Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639118656 | NPI | - | NPPES |
| HW8412 | Other | CA | GROUP PTAN |
| 00A325650 | Medicaid | CA | |
| HW8412A | Other | CA | PTAN/LEGACY PACIFIC HOSP |
| HW8412B | Other | CA | PTAN/LEGACY COMMUNITY HOSP |
| HW881 | Other | CA | ST MARYS PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A32565 (California) | Primary |
| 174400000X | Specialist | A32565 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Long beach, CA | Hospital |
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Ventura County Medical Center | Ventura, CA | Hospital |
| Lanai Community Hospital | Lanai city, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Imaging Associates Inc | 1254761315 | 194 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory T Vanley, MD 1045 Atlantic Ave, Suite 105, Long Beach, CA 90813-3408 Ph: (562) 491-9167 | Gregory T Vanley, MD 1045 Atlantic Ave, Suite 105, Long Beach, CA 90813 Ph: (562) 491-9167 |
Dr. Natalie Maya Sardjono, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2810 Long Beach Blvd Fl 2, Long Beach, CA 90806 Phone: 562-933-7880 | |
Dr. Thomas Charles Gates, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1043 Elm Ave, Long Beach, CA 90813 Phone: 951-691-5123 Fax: 951-691-5156 | |
Dr. Reza Lotfi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Radiology 05/114, Long Beach, CA 90822 Phone: 562-826-8000 Fax: 561-826-5425 | |
Timothy V Bell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Kourosh Nourisamie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Dr. Charles Franklin Brown, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1045 Atlantic Ave, Suite 105, Long Beach, CA 90813 Phone: 562-437-6982 Fax: 562-624-0741 | |
Mr. Barry Bardia Golestany, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 714-665-1797 |