Individual
DR. JEFFREY C. CAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1509 WILSON TERRACE, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
2200 NORTH MAYFAIR ROAD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036131485
IL
2085R0202X
Diagnostic Radiology Physician
C1-0025584
DE
2085R0202X
Diagnostic Radiology Physician
Primary
G81806
CA
2085R0202X
Diagnostic Radiology Physician
ME141068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G818060
BLUE SHIELD
CA
01
—
1912968686
BLUE CROSS
CA
05
—
1912968686
—
CA
01
—
P10145172
RR MEDICARE
—
Enumeration date
03/31/2006
Last updated
08/18/2025
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