Theodore S. Feit, M.D., Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

G32804 Issued in CA

Legal business name

THEODORE S. FEIT, M.D., INC.

Practice address

2601 W Alameda Ave
Suite 310
Burbank, CA 91505-4800

Phone

(818) 636-6463

Fax

(818) 345-3533

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Theodore Stuart Feit, M.D.

Title

President/Owner

Phone

(818) 636-6463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1306117817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-636-6463",
            "fax_number": "818-345-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-636-6463",
            "fax_number": "818-345-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE S. FEIT, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "FEIT",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-636-6463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G32804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "10949663",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.