Organization Active NPI

Encino Open MRI Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Encino, CA
National Provider Identifier
1104073659
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Akhtar GolbaharNPI 1659497972
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20090702000127 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9133270176 Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.