Active NPI
Glenoaks Imaging Professionals Inc
- Radiology Clinic/Center
- Glendale, CA
National Provider Identifier
1205137189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- GLENOAKS IMAGING PROFESSIONALS INC
- Practice address
- 1731 W Glenoaks Blvd
Suite 101 & Suite 102
Glendale, CA 91201-1599 - Phone
- (818) 429-3324
- NPI assigned
- Nov 9, 2010
- Last updated
- Jul 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rubik Khosrovyan
- Title
- President
- Phone
- (818) 429-3324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | CA | Primary |
Addresses
Primary practice location
1731 W Glenoaks Blvd
Suite 101 & Suite 102
Glendale, CA 91201-1599
Mailing address
1731 W Glenoaks Blvd
Suite 101 & Suite 102
Glendale, CA 91201-1599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111027000596 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3971776436 | Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryLocations
1731 W Glenoaks Blvd
Ste 101
Glendale, CA 91201
Phone (818) 230-3400
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Military Health Care Provider
- Sepulveda, CA
- NPI 1730270331
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1639230766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311638400000",
"number": "1205137189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 W GLENOAKS BLVD",
"address_2": "SUITE 101 & SUITE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 W GLENOAKS BLVD",
"address_2": "SUITE 101 & SUITE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011599",
"telephone_number": "818-429-3324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENOAKS IMAGING PROFESSIONALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2011-07-26",
"status": "A",
"authorized_official_last_name": "KHOSROVYAN",
"authorized_official_first_name": "RUBIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-429-3324"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Glendale West Pharmacy Inc (Glendale West Pharmacy)
- Glendale Whole Health
- Glenhaven Healthcare, LLC (GlenHaven Healthcare)
- Glenhills Home Health
- Glenoaks Home Health, Inc.
- Glenoaks Medical Center, Inc.
- Glenoaks Podiatry Group Inc
- Glenoaks Urgent Care Medical Group, Inc.
- Glenview Home Health, Inc.
- Glenview Optical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.