| Richard Wasley, MD | |
|
31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | |
| (949) 499-7195 | |
| Not Available |
| Full Name | Richard Wasley |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 31872 South Coast Highway, Laguna 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 |
|---|---|---|---|
| 1003868753 | NPI | - | NPPES |
| 00G780970 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G78097 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorialcare Medical Foundation | 8729277314 | 450 |
| Entity Name | South Coast Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902858384 PECOS PAC ID: 0749225753 Enrollment ID: O20050621000552 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Norcal Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003965997 PECOS PAC ID: 7911099346 Enrollment ID: O20070815000403 |
| Entity Name | Emeryville Advanced Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Wasley, MD Dept La 21650, Pasadena, CA 91185-1650 Ph: (949) 263-8620 | Richard Wasley, MD 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Ph: (949) 499-7195 |
Aaron Esrig, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2505 Kilo Way, Laguna Beach, CA 92651 Phone: 949-497-4091 Fax: 949-497-1557 | |
Andrew Lazere, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
James Sutherland, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 Outh Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Gerald Stevens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Robert Pompei, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-499-7195 | |
Elliott Fankuchen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 Phone: 949-499-7195 |