Central Medical Group
NPI 1639924319ActiveOrganization· Radiology, Diagnostic Radiology· Glendale, CA
Radiology, Diagnostic Radiology in Glendale, California, registered in NPPES in April 2024. The authorized official on file is Nicholas N. Dzebolo, M.D., Mdical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639924319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2024 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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