Alyssa T Watanabe, MD - Medicare Diagnostic Radiology in Los Angeles, CA

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Alyssa T Watanabe, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Los Angeles, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Prohealth Partners, A Medical Group, Newport Diagnostic Radiology Inc, Bedford Breast Center, Inc and her current practice location is 1500 San Pablo St Fl 2, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-8541.

Alyssa T Watanabe is licensed to practice in California (license number G63862) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780660472.

Contact Information

Alyssa T Watanabe, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313
(323) 442-8541
Not Available

Map and Direction




Physician's Profile

Full NameAlyssa T Watanabe
GenderFemale
SpecialityDiagnostic Radiology
Experience37 Years
Location1500 San Pablo St Fl 2, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alyssa T Watanabe attended and graduated from University Of California, San Francisco School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1780660472
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911801840
  • Enrollment ID: I20051109001169

Medical Identifiers

Medical identifiers for Alyssa T Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780660472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G63862 (California)Secondary
2085N0700XRadiology - Neuroradiology G63862 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Partners, A Medical Group2769388412229
Newport Diagnostic Radiology Inc38704943889
Bedford Breast Center, Inc53951602953

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alyssa T Watanabe allows following entities to bill medicare on her behalf.
Entity NameProhealth Partners, A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003949975
PECOS PAC ID: 2769388412
Enrollment ID: O20031211000927
Entity NameNewport Diagnostic Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134345473
PECOS PAC ID: 3870494388
Enrollment ID: O20040116001125
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameVallejo Open Mri Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164478277
PECOS PAC ID: 9133132046
Enrollment ID: O20060719000128
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
Entity NameBedford Breast Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760878367
PECOS PAC ID: 5395160295
Enrollment ID: O20200810002260
Entity NameEz Diagnostic Imaging Services, Llc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1669195244
PECOS PAC ID: 3678943776
Enrollment ID: O20230106000617

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa T Watanabe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alyssa T Watanabe, MD
Po Box 31399,
Los Angeles, CA 90031-0399

Ph: (323) 442-8541		Alyssa T Watanabe, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313

Ph: (323) 442-8541

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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