Active NPI
Sonotape, Inc.
- Diagnostic Ultrasound Physician
- Glendale, CA
National Provider Identifier
1346387420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- SONOTAPE, INC.
- Practice address
- 1012 E Colorado St
Unit 210
Glendale, CA 91205-1226 - Phone
- (818) 244-2935
- NPI assigned
- Jan 30, 2007
- Last updated
- Nov 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karen Gevorgyan
- Title
- Ceo
- Phone
- (818) 384-4126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
1012 E Colorado St
Unit 210
Glendale, CA 91205-1226
Mailing address
1012 E Colorado St
Unit 210
Glendale, CA 91205-1226
Phone (818) 244-2935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080317000151 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7517042427 | Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryLocations
1012 E Colorado St
Ste 210
Glendale, CA 91205
Phone (818) 244-2935
327 Arden Ave
Ste 208
Glendale, CA 91203
Phone (818) 244-2992
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Los Angeles, CA
- NPI 1497783831
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1932202470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1346387420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 E COLORADO ST",
"address_2": "UNIT 210",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051226",
"telephone_number": "818-244-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E COLORADO ST",
"address_2": "UNIT 210",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051226",
"telephone_number": "818-244-2935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONOTAPE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-384-4126",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.