Central Diagnostic Imaging Network

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G84687 Issued in CA

Legal business name

CENTRAL DIAGNOSTIC IMAGING NETWORK

Practice address

1220 S Central Ave
#204
Glandale, CA 91204

Phone

(818) 548-8333

Fax

(818) 548-7888

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Maurice J Hale, MDNPI 1366450116

Title

President

Phone

(818) 548-8333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice J Hale, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1366450116
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346335403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S CENTRAL AVE",
            "address_2": "#204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-548-8333",
            "fax_number": "818-548-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S CENTRAL AVE",
            "address_2": "#204",
            "city": "GLANDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-548-8333",
            "fax_number": "818-548-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DIAGNOSTIC IMAGING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-548-8333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.