NPIMap

Organization Active NPI

K & T Diagnostic, Inc.

  • Mobile Radiology Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1013960681
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
K & T DIAGNOSTIC, INC.
Practice address
7120 Hayvenhurst Ave
Suite 407
Van Nuys, CA 91406-3813
Phone
(818) 787-3217
Fax
(818) 787-0858
NPI assigned
May 18, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Vladislav Kokhan
Title
Ceo
Phone
(818) 787-3217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X NU Primary
Physiological Laboratory 293D00000X NU

Addresses

Primary practice location

7120 Hayvenhurst Ave
Suite 407
Van Nuys, CA 91406-3813

Mailing address

7120 Hayvenhurst Ave
Suite 407
Van Nuys, CA 91406-3813
Phone (818) 787-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000370 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062318587 Practice locations: Van Nuys, CA
O20241219000345 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062318587 Practice locations: Agawam, MA

National Provider Directory

National Provider Directory

Locations

7120 Hayvenhurst Ave
Ste 407
Van Nuys, CA 91406
Phone (800) 909-5954

630 Silver St
Ste 9C
Agawam, MA 01001
Phone (800) 909-5954

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1013960681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE",
            "address_2": "SUITE 407",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-787-3217",
            "fax_number": "818-787-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE",
            "address_2": "SUITE 407",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-787-3217",
            "fax_number": "818-787-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & T DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "KOKHAN",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-787-3217"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.