Medical Imaging Specialists Ca Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDICAL IMAGING SPECIALISTS CA INC

Practice address

533 Airport Blvd Ste 400
Burlingame, CA 94010-2013

Phone

(708) 929-2883

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By 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

Haitham Khattab

Title

Ceo

Phone

(708) 929-2883

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1346811890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 AIRPORT BLVD STE 400",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102013",
            "telephone_number": "708-929-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 AIRPORT BLVD STE 400",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102013",
            "telephone_number": "708-929-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING SPECIALISTS CA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-929-2883"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken A McGinnis, M.D.
• Flordeliza Balitaan McLaughlin, PSYD.,LMFT
• Elizabeth Anne McMichael, NP
• Christina Renee McMorrow, M.A.
• Carlos Couto Medeiros, ATC
• Elizabeth Mary Medina, AG ACNP-BC
• Marianna M Mednikov
• Medvista Healthcare Inc.
• Masude Sadiq Mehdavi, DO
• Ardeshir Mehran Mehran

• Diagnostic Radiology Physician in Burlingame, CA
• Providers in Burlingame, 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 Jul 6, 2021; 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.