Advanced MFM Imaging Center, Inc.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

A69154 Issued in CA

Legal business name

ADVANCED MFM IMAGING CENTER, INC.

Practice address

1577 E Chevy Chase Dr Ste 300
Glendale, CA 91206-4092

Phone

(818) 240-8300

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystyne Danyell, RNNPI 1730802570

Title

President

Phone

(818) 939-4040

Specialties & licenses 3

Addresses

Other names 1

• Advanced MFM Imaging Center, Inc. Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystyne Danyell, MSN, FNP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1730802570

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1124521331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064092",
            "telephone_number": "818-240-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064092",
            "telephone_number": "818-240-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MFM IMAGING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "DANYELL",
        "authorized_official_first_name": "KRYSTYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-939-4040",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A69154",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A32023",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A32023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced MFM Imaging Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Maternal & Fetal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.