Radiology Disc of Encino, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

RADIOLOGY DISC OF ENCINO, INC.

Practice address

16661 Ventura Blvd.
Suite 100
Encino, CA 91436-1922

Phone

(818) 986-3472

Fax

(818) 986-2129

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roy Mozaffar Rezvon, AART, CRT, RADMS

Title

Office Manager

Phone

(818) 986-3472

Specialties & licenses 1

Addresses

Other names 1

• DISC RADIOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Thomas Andrew Herbold, MD

  • Diagnostic Radiology Physician
  • Encino, CA
  • NPI 1740358738
  NPD
• Ata Daniel Rezvanpour, M.D.

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
  • NPI 1841348711
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1114019973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD.",
            "address_2": "SUITE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472",
            "fax_number": "818-986-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD.",
            "address_2": "SUITE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472",
            "fax_number": "818-986-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY DISC OF ENCINO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "REZVON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "MOZAFFAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-986-3472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AART, CRT, RADMS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISC RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rabizadeh Medical Corporation
• Jason Tyler Rabotnick
• Rachel McNally Lac.
• Amir Elijah Rad, M.D.
• Radiant Reclamation Family Therapy Inc
• Radiology Disc of Miracle Mile Inc
• Radmand Professional Dental Group
• Radmand Professional Dental Group
• Nadja Radmanovic
• Radnia Chiropractic Clinic Inc.

• Radiology Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.