Organization Active NPI

Preferred Imaging Center Inc

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1275282857
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PREFERRED IMAGING CENTER INC
Practice address
535 N Brand Blvd Ste 235
Glendale, CA 91203-3311
Phone
(818) 649-1374
Fax
(818) 649-1375
NPI assigned
Mar 22, 2022
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Ruben Chakulian
Title
Ceo
Phone
(818) 649-1374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

535 N Brand Blvd Ste 235
Glendale, CA 91203-3311

Mailing address

535 N Brand Blvd Ste 235
Glendale, CA 91203-3311
Phone (818) 649-1374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000956 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234516410 Practice locations: Glendale, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Preferred Imaging Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

535 N Brand Blvd
Ste 235
Glendale, CA 91203
Phone (818) 649-1374

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1275282857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N BRAND BLVD STE 235",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033311",
            "telephone_number": "818-649-1374",
            "fax_number": "818-649-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N BRAND BLVD STE 235",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033311",
            "telephone_number": "818-649-1374",
            "fax_number": "818-649-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "CHAKULIAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-649-1374"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.