Organization
MADISON RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY BECKER MEDICAL DOCTOR (PRESIDENT OF MADISON RADIOLOGY)
(626) 793-8189
Entity
Organization
Contact information
Practice address
65 N MADISON AVE, LOWER LEVEL, PASADENA, CA 91101-2035
(626) 793-8189
(626) 795-3975
Mailing address
223 N 1ST AVE, SUITE #201, ARCADIA, CA 91006-7089
(626) 793-8189
(626) 795-3975
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079230
—
CA
01
—
ZZZ56942Z
BLUE SHIELD
CA
Enumeration date
10/19/2005
Last updated
03/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up