Saint Gorge Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SAINT GORGE RADIOLOGY

Practice address

12610 Glenoaks Blvd Ste 10
Sylmar, CA 91342-4783

Phone

(818) 698-4448

Fax

(818) 698-4449

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dmytro Malakhov

Title

Ceo

Phone

(818) 698-4448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1104300763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD STE 10",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-698-4448",
            "fax_number": "818-698-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD STE 10",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-698-4448",
            "fax_number": "818-698-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT GORGE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "MALAKHOV",
        "authorized_official_first_name": "DMYTRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-698-4448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Sacoolidge, MD
• Ana Maria Saez, ACSW
• Jessica Safaiyeh
• Amardeep K Sagoo, NP
• Lori Lynn Said
• Saint Mariam Congregate
• Yasaman Sakhakorn, OD
• Edwin Salazar
• Monique Salazar
• Ryan William Salazar

• Diagnostic Radiology Physician in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.