Organization Active NPI

Wilbur Imaging Partners Inc

  • Radiology Clinic/Center
  • Winnetka, CA
National Provider Identifier
1003040189
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WILBUR IMAGING PARTNERS INC
Practice address
6742 Winnetka Ave
Winnetka, CA 91306-4348
Phone
(818) 705-3200
Fax
(818) 705-6999
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jacob Rastegar, M.D.
Title
President
Phone
(818) 705-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

6742 Winnetka Ave
Winnetka, CA 91306-4348

Mailing address

6742 Winnetka Ave
Winnetka, CA 91306-4348
Phone (818) 705-3200

Other names 1

  • OZ Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

6742 Winnetka Ave
Winnetka, CA 91306
Phone (818) 705-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003040189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064348",
            "telephone_number": "818-705-3200",
            "fax_number": "818-705-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064348",
            "telephone_number": "818-705-3200",
            "fax_number": "818-705-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR IMAGING PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-705-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZ Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.