{"npi":"1114112372","type":"NPI-2","status":"active","name":{"display":"Beverly Radiology Medical Group Iii","other":[],"organization_name":"BEVERLY RADIOLOGY MEDICAL GROUP III","authorised_official":"Howard Berger"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"17260 BEAR VALLEY RD","city":"VICTORVILLE","state":"CA","postal_code":"923957777","country_code":"US","street_2":"SUITE 109","phone":"3104452851","fax":"3104791459"},{"purpose":"MAILING","street_1":"1510 COTNER AVE","city":"LOS ANGELES","state":"CA","postal_code":"900253303","country_code":"US","phone":"3104452851","fax":"3104791459"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20151015002221","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"3476466376"}]},"enumeration_date":"2007-09-11","last_updated":"2015-10-13","_meta":{"source":"NPPES","snapshot_date":"2015-10-13","doc_url":"https://findmynpi.com/api"}}