Organization Active NPI

US Tech Diagnostic Inc

  • Diagnostic Radiology Physician
  • Van Nuys, CA
National Provider Identifier
1295712339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.