Active NPI
Ultrascan Services
- Physiological Laboratory
- Los Angeles, CA
National Provider Identifier
1063479566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- ULTRASCAN SERVICES
- Practice address
- 6210 Wilshire Blvd
Suite #201
Los Angeles, CA 90048-5105 - Phone
- (323) 954-8131
- Fax
- (323) 954-8127
- NPI assigned
- Apr 27, 2006
- 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
- Mr. Arthur Khachaturyan, RDMS, RVT, RDCS
- Title
- General Partner
- Phone
- (323) 954-8131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
6210 Wilshire Blvd
Suite #201
Los Angeles, CA 90048-5105
Mailing address
PO Box 93215
Los Angeles, CA 90093-0215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040213000401 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7618861154 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
1800 N Highland Ave
Ste 602A
Hollywood, CA 90028
Phone (323) 465-9353
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1992927719
-
- Diagnostic Radiology Physician
- Pasadena, CA
- NPI 1821187410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1063479566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900930215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 WILSHIRE BLVD",
"address_2": "SUITE #201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485105",
"telephone_number": "323-954-8131",
"fax_number": "323-954-8127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRASCAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "KHACHATURYAN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "323-954-8131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RDMS, RVT, RDCS"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.