Uc Regents
NPI 1902177785ActiveOrganization· Radiology, Diagnostic Radiology· Fountain Valley, CA
Radiology, Diagnostic Radiology in Fountain Valley, California, registered in NPPES in January 2012, part of Uc Regents. The authorized official on file is Randolph Perseverance Siwabessy, Vice President And Chief Financial. Medicare paid $229,582 for services to 1,230 patients in 2024.
Overview
| NPI | 1902177785 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Uc Regents |
| NPI issued | Jan 25, 2012 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,230 |
|---|---|
| Services billed | 3,250 across 130 procedure codes |
| Paid by Medicare | $229,582 |
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