Organization Active NPI

Prime Ultrasound Services Inc

  • Diagnostic Ultrasound Physician
  • Encino, CA
National Provider Identifier
1336212505
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
PRIME ULTRASOUND SERVICES INC
Practice address
16200 Ventura Blvd
#402
Encino, CA 91436
Phone
(818) 788-7877
Fax
(818) 788-7833
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Alex Margulyan, ARDMS
Title
Ceo
Phone
(818) 788-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

16200 Ventura Blvd
#402
Encino, CA 91436

Mailing address

16200 Ventura Blvd
#402
Encino, CA 91436
Phone (818) 788-7877

National Provider Directory

National Provider Directory

Locations

16200 Ventura Blvd
Ste 402
Encino, CA 91436
Phone (818) 788-7877

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1336212505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD",
            "address_2": "#402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-788-7877",
            "fax_number": "818-788-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 VENTURA BLVD",
            "address_2": "#402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-788-7877",
            "fax_number": "818-788-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ULTRASOUND SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "MARGULYAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-788-7877",
        "authorized_official_credential": "ARDMS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.