Perch Yetenikyan, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PERCH YETENIKYAN, INC.

Practice address

5465 Santa Monica Blvd Ste 101
Los Angeles, CA 90029-2339

Phone

(323) 467-7770

Fax

(323) 467-4544

NPI assigned

Dec 22, 2017

Organization subpart

Yes

Parent organization

PERCH YETENIKYAN, INC.As reported in NPPES

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

Authorized official

Name

Perch Yetenikyan

Title

Ceo

Phone

(323) 467-7770

Specialties & licenses 1

Addresses

Other names 1

• ELITE RADIOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Perch Yetenikyan Inc

Locations

Practitioners 4

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

• Patrick Louis Alore, M.D.

  • Diagnostic Radiology Physician
  • Encino, CA
  • NPI 1962607697
  Medicare reassignment NPD
• Adelaida E Bustos, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1467510040
  Medicare reassignment NPD
• Bedro Jin, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1073825170
  Medicare reassignment NPD
• Michael J Manzano, M.D.

  • Neuroradiology Physician
  • Los Angeles, CA
  • NPI 1154682151

  Diagnostic Radiology

  Medicare reassignment NPD

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1043726367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SANTA MONICA BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292339",
            "telephone_number": "323-467-7770",
            "fax_number": "323-467-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SANTA MONICA BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292339",
            "telephone_number": "323-467-7770",
            "fax_number": "323-467-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCH YETENIKYAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCH YETENIKYAN, INC.",
        "enumeration_date": "2017-12-22",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "YETENIKYAN",
        "authorized_official_first_name": "PERCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-467-7770"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Amber Peraza-Martinez
• Klarissa Peraza
• Nancy Peraza, B.A.
• Stacey Peraza
• Joseph Louis Perazzo, RPH
• Joshua Perch, DO
• Paul G Perch, MD
• Alice M Perches
• Elan Avraham Perchik, LMFT
• Jason Oneil Percy

• Diagnostic Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, 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 9, 2018; 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.