Procreate 4D LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

0002946802-0001-1 Issued in CA

Legal business name

PROCREATE 4D LLC

Practice address

5161 Pomona Blvd Ste 213
Los Angeles, CA 90022-1749

Phone

(626) 316-0829

NPI assigned

Jan 8, 2017

Organization subpart

No

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

Authorized official

Name

Jose Fernando FariasNPI 1770028391

Title

Ceo

Phone

(626) 316-0829

Specialties & licenses 1

Addresses

Other names 1

• procreate 4D Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Aria Diagnostic Imaging LLC

  • Diagnostic Ultrasound Physician
  • Los Angeles, CA
  • NPI 1578086807
  NPPES parent name

Practitioners 1

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

• Jose Fernando Farias

  • Diagnostic Ultrasound Physician
  • Los Angeles, CA
  • NPI 1770028391
  NPD (past) Authorized official

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1356887889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221749",
            "telephone_number": "626-316-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221749",
            "telephone_number": "626-316-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCREATE 4D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-316-0829"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "0002946802-0001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "procreate 4D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Procare, Ipa Inc
• Danika Prochaska, M.D.
• Natalie Procter
• Karen K Proctor, CPNP
• Procultural Group Counseling Services
• Prodynamics Inc.
• Lyudmila Proektor, ABO-NCLE

• Diagnostic Ultrasound Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.