Prohealth Advanced Imaging Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

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

Organization subpart

No

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

Authorized official

Name

Payam Kashfian, M.D.NPI 1639114283

Title

President

Phone

(818) 301-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 25

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

• Payam Kashfian, M.D.

  • Diagnostic Radiology Physician
  • West Hills, CA
  • NPI 1639114283
  Medicare reassignment Care Compare group NPD Authorized official
• Reza Assadsangabi, MD

  • Neuroradiology Physician
  • Los Angeles, CA
  • NPI 1114376332
  Medicare reassignment Care Compare group NPD
• Ali Gholamrezanezhad, M.D.

  • Diagnostic Radiology Physician
  • West Hollywood, CA
  • NPI 1851653968
  Medicare reassignment Care Compare group NPD
• Farhad Houriani, M.D.

  • Diagnostic Radiology Physician
  • North Hollywood, CA
  • NPI 1376590471
  Medicare reassignment Care Compare group NPD
• Michael Kabiri, MD

  • Body Imaging Physician
  • Anaheim, CA
  • NPI 1144378977
  Medicare reassignment Care Compare group NPD
• Robert Burnham Lufkin, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1487684379
  Medicare reassignment Care Compare group NPD
• Payam Michael Massaband, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
  • NPI 1760678395
  Medicare reassignment Care Compare group NPD
• Babak Shayestehfar, M.D.

  • Diagnostic Radiology Physician
  • North Hollywood, CA
  • NPI 1801831466
  Medicare reassignment Care Compare group NPD
• Andrew Surman

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1245686351
  Medicare reassignment Care Compare group NPD
• Ramin Akhavan, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1861561300

  CA

  Medicare reassignment Care Compare group NPD
• Shmuel Mahgerefteh, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1124430947

  CA

  Medicare reassignment Care Compare group NPD
• Vikram M Shaker, M.D.

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1841511854

  CA

  Medicare reassignment Care Compare group NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ66550Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Diagnostic Radiology Physician in California

• 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.

Verify at the official NPI Registry.