Teimuraz Urushadze, RDCS.,RVT.,ARDMS(ABD

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

106048 Issued in MD

Practice address

6210 Wilshire Blvd
Ste 205
Los Angeles, CA 90048-5105

Phone

(310) 770-9528

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Diagnostic & Management

  • Mobile Radiology Clinic/Center
  • Los Angeles, CA
  • NPI 1285783639
  NPD (past) Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1083898167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 WILSHIRE BLVD",
            "address_2": "STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485105",
            "telephone_number": "310-770-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WILSHIRE BLVD",
            "address_2": "STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485105",
            "telephone_number": "310-770-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URUSHADZE",
        "first_name": "TEIMURAZ",
        "credential": "RDCS.,RVT.,ARDMS(ABD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "MD",
            "license": "106048",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MD",
            "license": "106048",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "106048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Vanessa Urrutia
• Grabiela Urrutia
• Ellen Rose Urtecho
• Juan Carlos Urtecho
• Yesenia Urtez
• Irina A Urusova, MD
• Guillermo Urzua, M.D.
• Jazmine Urzua
• Perla Belem Urzua
• US Global Medtech LLC

• Sonography Radiologic Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.