NPIMap

Organization Active NPI

Ventura Imaging and Radiology Center

  • Radiology Clinic/Center
  • Encino, CA
National Provider Identifier
1164564597
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A040588 Issued in CA
Legal business name
VENTURA IMAGING AND RADIOLOGY CENTER
Practice address
16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124
Phone
(818) 905-7323
Fax
(818) 783-6108
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Hedayat Ed Golcheh, M.D.NPI 1811039233
Title
Medical Director
Phone
(818) 905-7323

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
Radiology Clinic/Center 261QR0200X A040588 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124

Mailing address

16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124
Phone (818) 905-7323

Other identifiers 1

IdentifierTypeStateIssuer
A040588OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 787
Encino, CA 91436
Phone (818) 905-7323

Practitioners & affiliated clinicians

Practitioners 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1164564597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE # 787",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-905-7323",
            "fax_number": "818-783-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE # 787",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-905-7323",
            "fax_number": "818-783-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA IMAGING AND RADIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "GOLCHEH",
        "authorized_official_first_name": "HEDAYAT",
        "authorized_official_middle_name": "ED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-905-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A040588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A040588",
            "state": "CA"
        }
    ],
    "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 May 16, 2012; 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.