Organization Active NPI

Eberly Imaging LLC

  • Radiography Radiologic Technologist
  • Norwalk, CA
National Provider Identifier
1073296158
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
Legal business name
EBERLY IMAGING LLC
Practice address
13916 Elmcroft Ave
Norwalk, CA 90650-3710
Phone
(424) 202-2349
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Eber Sanchez ZelayaNPI 1073213559
Title
Ceo
Phone
(424) 202-2349

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)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3402X Primary

Addresses

Primary practice location

13916 Elmcroft Ave
Norwalk, CA 90650-3710

Mailing address

13916 Elmcroft Ave
Norwalk, CA 90650-3710
Phone (424) 202-2349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002978 CA Part B Supplier - Portable X-Ray Supplier 7618324690 Practice locations: Norwalk, CA

National Provider Directory

National Provider Directory
Tax ID family
Eberly Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1073296158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503710",
            "telephone_number": "424-202-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503710",
            "telephone_number": "424-202-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ ZELAYA",
        "authorized_official_first_name": "EBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-202-2349"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.