MRI Healthcare Center of Glendale

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G206170 Issued in CA

Legal business name

MRI HEALTHCARE CENTER OF GLENDALE

Practice address

1109 S Central Ave
Glendale, CA 91204-2212

Phone

(818) 244-4646

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Severiano Valenzuela, M.D.

Title

Radiologistmedical Director

Phone

(818) 244-4646

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275612509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 TYLER LN",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849279",
            "telephone_number": "909-982-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042212",
            "telephone_number": "818-244-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI HEALTHCARE CENTER OF GLENDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "SEVERIANO",
        "authorized_official_title_or_position": "RADIOLOGISTMEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-244-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G206170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DIAA00310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moustafa Hussein Moustafa, M.D.
• Movement System Institute Physiotherapy Inc
• Alexia Movsessian
• Gary Wellington Moy, MD
• MRI Diagnostic,Inc
• MRI Imaging Institute (Glendale MRI Medical Center)
• Msa Hospice and Palliative Care Inc
• MSB Tech LLC
• Msitua Therapy Inc.
• Marine Msryan

• Diagnostic Radiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.