| Vijendra Rao, MD | |
|
1516 Cotner Ave, Los Angeles, CA 90025-3303 | |
| (310) 445-2951 | |
| (310) 479-1459 |
| Full Name | Vijendra Rao |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 24 Years |
| Location | 1516 Cotner Ave, Los Angeles, 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 |
|---|---|---|---|
| 1699799833 | NPI | - | NPPES |
| GR0106039 | Medicaid | CA | |
| GR0106035 | Medicaid | CA | |
| GR010603D | Medicaid | CA | |
| 00A912250 | Medicaid | CA | |
| GR0025330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A91225 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Antioch | Antioch, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | I V Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
| 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 | Emeryville Advanced Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijendra Rao, MD 1516 Cotner Ave, Los Angeles, CA 90025-3303 Ph: (310) 445-2951 | Vijendra Rao, MD 1516 Cotner Ave, Los Angeles, CA 90025-3303 Ph: (310) 445-2951 |
Dr. Jiewen Li, DO Radiology Medicare: Medicare Enrolled Practice Location: 125 1/2 S Avenue 60, Los Angeles, CA 90042 Phone: 216-370-8300 | |
Alexander Boyarko, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11980 Walnut Ln Apt 18, Los Angeles, CA 90025 Phone: 303-437-5230 | |
Doron Ben Avi, MD Radiology Medicare: Medicare Enrolled Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459 | |
Hsin Y Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-4721 | |
Colin J. Wells, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-301-6800 | |
Eric Allan White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St Fl 2, Los Angeles, CA 90033 Phone: 323-442-8541 Fax: 323-442-8755 | |
Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321 |