Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Lewis Black, MD

Individual provider Body Imaging Physician · NPI 1780620955

Michael Lewis Black, MD is a Diagnostic Radiology in Santa Ana, California. Graduated from State University of Ny Upstate Medical University in 1983, 43 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
State University of Ny Upstate Medical University
Licensed in
CA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 N Tustin Ave
Santa Ana, CA 92705-3509
Phone: (714) 835-6055
Fax: (714) 835-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 — (949) 722-7038

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence G55416 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence G55416 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G55416 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence G55416 (CA)

Record details

NPI number1780620955
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1983 (43 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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