NPI 1912968686 · live from the CMS NPI Registry
Jeffrey C. Caverly, MD
Radiology, Diagnostic Radiology in Glendale, CA. National Provider Identifier 1912968686, active.
NPI record
| NPI | 1912968686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1509 Wilson Terrace, Glendale, CA 91206 |
| Practice phone | 818-409-8000 |
| Mailing address | 2200 North Mayfair Road, Suite 200, Wauwatosa, WI 53226 |
| Enumerated | March 31, 2006 |
| Last updated | August 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | C1-0025584 (DE) |
| Radiology, Diagnostic Radiology | 2085R0202X | ME141068 (FL) |
| Radiology, Diagnostic Radiology | 2085R0202X | 036131485 (IL) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | G81806 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.