Active NPI
Roman Khais
- Radiography Radiologic Technologist
- Bellflower, CA
National Provider Identifier
1184909889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 490311
- Practice address
- 10284 Corte Fina LN
Bellflower, CA 90706-1071 - Phone
- (562) 310-9747
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 490311 | CA | Primary |
Addresses
Primary practice location
10284 Corte Fina LN
Bellflower, CA 90706-1071
Mailing address
10284 Corte Fina LN
Bellflower, CA 90706-1071
Phone (562) 310-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 490311 | CA | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1184909889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10284 CORTE FINA LN",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907061071",
"telephone_number": "562-310-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10284 CORTE FINA LN",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907061071",
"telephone_number": "562-310-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIS",
"first_name": "ROMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-13",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "490311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.