Shicare Radiology Network

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SHICARE RADIOLOGY NETWORK

Practice address

5535 Balboa Blvd.
Suite 227
Encino, CA 91316-1516

Phone

(877) 922-5111

Fax

(310) 715-8245

NPI assigned

Nov 13, 2007

Last updated

Oct 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi R Ravai

Title

Cfo

Phone

(877) 922-5111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1316127848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD.",
            "address_2": "SUITE 227",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "877-922-5111",
            "fax_number": "310-715-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD.",
            "address_2": "SUITE 227",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "877-922-5111",
            "fax_number": "310-715-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHICARE RADIOLOGY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "RAVAI",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "877-922-5111"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "A33257",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.