Craig J Gomberg, MD | |
555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 | |
(310) 673-4660 | |
Not Available |
Full Name | Craig J Gomberg |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 555 E Hardy St, Inglewood, 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 |
---|---|---|---|
1184603128 | NPI | - | NPPES |
050740CF74284 | Other | TRAILBLAZER | |
00G772250 | Medicaid | CA | |
050741CF74284 | Other | TRAILBLAZER | |
00G772250 | Other | BLUE SHIELD | |
P00300453 | Other | RAILROAD MEDICARE | |
00G772250E02 | Other | CALOPTIMA | |
050739CF74284 | Other | TRAILBLAZER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G77225 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centinela Hospital Medical Center | Inglewood, CA | Hospital |
Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
Cedars-sinai Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Medical Imaging Healthcare Inc | 0143311241 | 54 |
Centinela Radiology Medical Group | 3476440215 | 9 |
Beverly Radiology Medical Group Iii | 3476466376 | 246 |
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: O20031106000784 |
Entity Name | Kerlan-jobe Orthopaedic Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639141153 PECOS PAC ID: 6002712189 Enrollment ID: O20031209001130 |
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: O20040202001145 |
Entity Name | Centinela Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861475352 PECOS PAC ID: 3476440215 Enrollment ID: O20040304000414 |
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 | Icm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467401000 PECOS PAC ID: 6709882491 Enrollment ID: O20061020000336 |
Entity Name | United Medical Imaging Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760572036 PECOS PAC ID: 0143311241 Enrollment ID: O20070803000169 |
Mailing Address | Practice Location Address |
---|---|
Craig J Gomberg, MD Po Box 5686, Orange, CA 92863-5686 Ph: (888) 598-8819 | Craig J Gomberg, MD 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 Ph: (310) 673-4660 |
Dr. Walter Preston Maynard, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 125 N Prairie Ave, Inglewood, CA 90301 Phone: 310-671-9754 Fax: 310-671-3916 | |
Donald C Boger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 Phone: 310-673-4660 | |
Arash David Tehranzadeh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660 | |
Andrew P Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 Phone: 310-673-4660 | |
Michael J Dawson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 Phone: 310-673-4660 | |
Donald S Mayekawa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 Phone: 310-673-4660 |