Lloyd David Wagner, MD | |
223 24th St, Santa Monica, CA 90402-2515 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Lloyd David Wagner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 223 24th St, Santa Monica, 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 |
---|---|---|---|
1124161872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA09610500 (New Jersey) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | G70226 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Canton-potsdam Hospital | Potsdam, NY | Hospital |
Oneida Healthcare Center | Oneida, NY | Hospital |
Auburn Community Hospital | Auburn, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ali M Gharagozloo Md Pc | 0446228472 | 9 |
Rapid Radiology Inc | 2062734858 | 55 |
St Lawrence Radiology Assoc Pc | 2264421122 | 27 |
Regional Imaging Enm Llc | 2264847128 | 16 |
Beverly Radiology Medical Group Iii | 3476466376 | 246 |
Radiology Group Of Abington Pc | 5991780892 | 78 |
Suburban Medical Group Llc | 6204145642 | 36 |
Desert Advanced Imaging Medical Center | 6406749613 | 144 |
Vpa Pc | 9234041948 | 145 |
St Lawrence Radiology Assoc Pc | 2264421122 | 27 |
Suburban Medical Group Llc | 6204145642 | 36 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
90 Minute Diagnostics Llc | 7214396639 | 2 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Suburban Medical Group Llc | 6204145642 | 36 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
Rapid Radiology Inc | 2062734858 | 55 |
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 | 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 | Kern Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20050523000679 |
Entity Name | Desert Advanced Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20050712000635 |
Entity Name | Kan-di-ki Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1750364345 PECOS PAC ID: 5991737140 Enrollment ID: O20051026000145 |
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 | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | Symphony Diagnostic Services No 1 Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1013217769 PECOS PAC ID: 5193638765 Enrollment ID: O20140408002286 |
Entity Name | Symphony Diagnostic Services No 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20150416002087 |
Entity Name | Ali M Gharagozloo Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831182633 PECOS PAC ID: 0446228472 Enrollment ID: O20150829000147 |
Entity Name | Regional Radiology Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396714622 PECOS PAC ID: 8123063864 Enrollment ID: O20160328002266 |
Entity Name | St Lawrence Radiology Assoc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20160603000981 |
Entity Name | Olean Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20160624000397 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20161012002786 |
Entity Name | Community Mobile Ultrasound Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20161013002290 |
Entity Name | American Diagnostics Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639140387 PECOS PAC ID: 1355241274 Enrollment ID: O20170317001102 |
Entity Name | Radiology Group Of Abington Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477541035 PECOS PAC ID: 5991780892 Enrollment ID: O20171003007688 |
Entity Name | Rapid Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619300431 PECOS PAC ID: 2062734858 Enrollment ID: O20181206003053 |
Entity Name | Garden State Healthcare Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20181210002175 |
Entity Name | Ramapo Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150935 PECOS PAC ID: 6901705060 Enrollment ID: O20190612003020 |
Entity Name | Arizona Diagnostic Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336757699 PECOS PAC ID: 1658796859 Enrollment ID: O20200901002520 |
Entity Name | Allegiance Imaging And Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902346422 PECOS PAC ID: 3577838689 Enrollment ID: O20200911000239 |
Entity Name | Memphis Physicians Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20201221000648 |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20210603001777 |
Entity Name | Regional Imaging, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689241150 PECOS PAC ID: 7315349966 Enrollment ID: O20210902001277 |
Entity Name | Michigan Health Clinics Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124779061 PECOS PAC ID: 5991798183 Enrollment ID: O20220314000533 |
Entity Name | Regional Imaging Enm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588253058 PECOS PAC ID: 2264847128 Enrollment ID: O20220318001680 |
Entity Name | Meridian Teleradiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922330471 PECOS PAC ID: 8820479660 Enrollment ID: O20220914000576 |
Entity Name | Norton Clark Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20221004002464 |
Entity Name | Canal Radiology Associates P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588775654 PECOS PAC ID: 0143111047 Enrollment ID: O20221004002777 |
Entity Name | Shps Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20221019000479 |
Entity Name | Suburban Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20221103000731 |
Entity Name | Amboy Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104692672 PECOS PAC ID: 2860538170 Enrollment ID: O20240429001502 |
Mailing Address | Practice Location Address |
---|---|
Lloyd David Wagner, MD 223 24th St, Santa Monica, CA 90402-2515 Ph: (888) 886-5238 | Lloyd David Wagner, MD 223 24th St, Santa Monica, CA 90402-2515 Ph: (952) 595-1100 |
Dr. Oscar E Streeter Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403 Phone: 888-580-5900 Fax: 877-400-8093 | |
Vicki L. Schiller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-264-9000 Fax: 310-264-9004 | |
Dr. Seyed H Shahrokni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Ms. Keiko Aun Fukuda, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 100, Santa Monica, CA 90404 Phone: 310-301-6800 | |
Dr. Khalid Kurbanali Javeri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Alberto Saucedo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-829-9788 Fax: 310-453-1576 |