Organization Active NPI

Precise MRI Corp.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
National Provider Identifier
1306049671
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PRECISE MRI CORP.
Practice address
6710 Kester Ave #126
Van Nuys, CA 91405
Phone
(818) 907-7723
Fax
(818) 907-7611
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Jaklin Benji
Title
Manager
Phone
(818) 907-7723

Specialties & licenses 1

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

Addresses

Primary practice location

6710 Kester Ave #126
Van Nuys, CA 91405

Mailing address

6710 Kester Ave #126
Van Nuys, CA 91405
Phone (818) 907-7723

Other names 1

  • Precise Imaging Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250624000149 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234319716 Practice locations: Downey, CA
O20250805000005 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234319716 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

8628 Imperial Hwy
Downey, CA 90242
Phone (562) 904-0540

6710 Kester Ave
Van Nuys, CA 91405
Phone (818) 907-7723

6710 Kester Ave
Ste 126
Van Nuys, CA 91405
Phone (818) 907-7723

Practitioners & affiliated clinicians

Practitioners 2

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1306049671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 KESTER AVE #126",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-907-7723",
            "fax_number": "818-907-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 KESTER AVE #126",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-907-7723",
            "fax_number": "818-907-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE MRI CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BENJI",
        "authorized_official_first_name": "JAKLIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-907-7723"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise Imaging",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 26, 2025; 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.