NPIMap

Organization Active NPI

Udkoff Medical Imaging Corporation

  • Diagnostic Radiology Physician
  • Westlake Village, CA
National Provider Identifier
1306085949
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UDKOFF MEDICAL IMAGING CORPORATION
Practice address
1265 Canyon Rim Cir
Westlake Village, CA 91362-5228
Phone
(818) 865-1963
Fax
(818) 865-9767
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Ranon Charles Udkoff, M.D., PH.D.NPI 1952355133
Title
President
Phone
(818) 865-1963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1265 Canyon Rim Cir
Westlake Village, CA 91362-5228

Mailing address

1265 Canyon Rim Cir
Westlake Village, CA 91362-5228
Phone (818) 865-1963

Other names 1

  • Teleradpros Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1306085949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CANYON RIM CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625228",
            "telephone_number": "818-865-1963",
            "fax_number": "818-865-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CANYON RIM CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625228",
            "telephone_number": "818-865-1963",
            "fax_number": "818-865-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDKOFF MEDICAL IMAGING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "UDKOFF",
        "authorized_official_first_name": "RANON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-865-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "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": "Teleradpros",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.