Organization Active NPI

Sonotape, Inc.

  • Diagnostic Ultrasound Physician
  • Glendale, CA
National Provider Identifier
1346387420
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20080317000151 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7517042427 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.