NPIMap

Organization Active NPI

Noninvasive Medical Imaging Incorporated

  • Medical Specialty Clinic/Center
  • Reseda, CA
National Provider Identifier
1255899209
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NONINVASIVE MEDICAL IMAGING INCORPORATED
Practice address
7640 Tampa Ave Ste 101
Reseda, CA 91335-1713
Phone
(818) 718-1600
Fax
(818) 343-1612
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Carol A Ford
Title
Administrator
Phone
(818) 341-1883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

7640 Tampa Ave Ste 101
Reseda, CA 91335-1713

Mailing address

PO Box 261278
Encino, CA 91426-1278
Phone (818) 718-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000744 CA Part B Supplier - Clinic/Group Practice 3375876246 Receives reassigned benefits from 1 practitioner
Practice locations: Reseda, CA

National Provider Directory

National Provider Directory

Locations

7640 Tampa Ave
Ste 101
Reseda, CA 91335
Phone (818) 718-1600

Practitioners & affiliated clinicians

Practitioners 7

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": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1255899209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261278",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261278",
            "telephone_number": "818-718-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE STE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351713",
            "telephone_number": "818-718-1600",
            "fax_number": "818-343-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONINVASIVE MEDICAL IMAGING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-341-1883"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.