Active NPI
Prohealth Advanced Imaging Medical Group, Inc.
- Diagnostic Radiology Physician
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC.
- Practice address
- 10767 Riverside Dr
North Hollywood, CA 91602-2324 - Phone
- (818) 301-6700
- Fax
- (818) 301-6701
- NPI assigned
- May 2, 2006
- Last updated
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Payam Kashfian, M.D.
- Title
- President
- Phone
- (818) 301-6700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
10767 Riverside Dr
North Hollywood, CA 91602-2324
Mailing address
10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2136115 | Prohealth Advanced Imaging Medical Group, Inc. | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
2560 W Olympic Blvd
Ste 10
Los Angeles, CA 90006
2560 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (323) 703-1000
23456 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (818) 710-6011
7345 Medical Center Dr
Ste 130
West Hills, CA 91307
Phone (818) 710-6011
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- West Hills, CA
- NPI 1639114283
-
- Diagnostic Radiology Physician
- West Hollywood, CA
- NPI 1851653968
-
- Diagnostic Radiology Physician
- North Hollywood, CA
- NPI 1376590471
-
- Body Imaging Physician
- Anaheim, CA
- NPI 1144378977
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1487684379
-
- Diagnostic Radiology Physician
- Stanford, CA
- NPI 1760678395
-
- Diagnostic Radiology Physician
- North Hollywood, CA
- NPI 1801831466
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1245686351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1003874702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10767 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022324",
"telephone_number": "818-301-6700",
"fax_number": "818-301-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10767 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022324",
"telephone_number": "818-301-6700",
"fax_number": "818-301-6701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "KASHFIAN",
"authorized_official_first_name": "PAYAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-301-6700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
- Pro Medic Ambulance Inc
- Pro-Care Healthcare Services Inc
- Proactive Home Health Services, Inc.
- Professional Pharmacy Services, Inc.
- Progressive Recovery Solutions, LLC
- Prolife Hospice Care Inc
- Promed Care Home Health Inc
- Proper Fit Diabetic Shoes
- Prosper Health Services, Inc.
- Prosperity Health Group (TKM Health Consultants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.