Active NPI
Encino Open MRI Inc
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Encino, CA
National Provider Identifier
1104073659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- ENCINO OPEN MRI INC
- Practice address
- 17323 Ventura Blvd Ste 101
Encino, CA 91316-3964 - Phone
- (818) 986-4786
- NPI assigned
- Aug 26, 2008
- 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
- Akhtar Golbahar
- Title
- President
- Phone
- (818) 986-4786
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | CA | Primary |
Addresses
Primary practice location
17323 Ventura Blvd Ste 101
Encino, CA 91316-3964
Mailing address
17323 Ventura Blvd Ste 101
Encino, CA 91316-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090702000127 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9133270176 | Practice locations: Encino, CA |
National Provider Directory
National Provider DirectoryLocations
17323 Ventura Blvd
Encino, CA 91316
Phone (818) 986-4786
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Specialist/Technologist Cardiovascular
- North Hollywood, CA
- NPI 1659497972
-
- Physical Medicine & Rehabilitation Physician
- Woodland Hills, CA
- NPI 1215252598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231113600000",
"number": "1104073659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17323 VENTURA BLVD STE 101",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17323 VENTURA BLVD STE 101",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163964",
"telephone_number": "818-986-4786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCINO OPEN MRI INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-26",
"last_updated": "2009-01-05",
"status": "A",
"authorized_official_last_name": "GOLBAHAR",
"authorized_official_first_name": "AKHTAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-986-4786"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Encino Medical Pharmacy Inc
- Encino Medical Urgent Care Inc.
- Encino Medical Wellness Center
- Encino Neurodiagnostic Center
- Encino Neurological Medical Group
- Encino Optometric Center Corp.
- Encino Orthodontics
- Encino Outpatient Surgery Center, LLC
- Encino Place Pain & Surgery Center LLC
- Encino Place Pain Management and Surgery Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.