Active NPI
US Tech Diagnostic Inc
- Diagnostic Radiology Physician
- Van Nuys, CA
National Provider Identifier
1295712339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- US TECH DIAGNOSTIC INC
- Practice address
- 14426 Gilmore St
Van Nuys, CA 91401-1429 - Phone
- (818) 908-0551
- Fax
- (818) 908-0532
- NPI assigned
- Dec 29, 2005
- 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
- Olga Kalashnikov
- Title
- President
- Phone
- (818) 789-4170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
14426 Gilmore St
Van Nuys, CA 91401-1429
Mailing address
17071 Ventura Blvd
#225
Encino, CA 91316-4130
Phone (818) 789-4170
National Provider Directory
National Provider DirectoryLocations
17071 Ventura Blvd
Ste 225
Encino, CA 91316
Phone (818) 908-0557
14426 Gilmore St
Van Nuys, CA 91401
Phone (818) 908-0551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295712339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17071 VENTURA BLVD",
"address_2": "#225",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164130",
"telephone_number": "818-789-4170",
"fax_number": "818-789-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14426 GILMORE ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011429",
"telephone_number": "818-908-0551",
"fax_number": "818-908-0532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US TECH DIAGNOSTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KALASHNIKOV",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-789-4170"
},
"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 Van Nuys, CA
Sources for this page
- 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.