NPIMap

Organization Active NPI

Mobile Radiological Services, Inc

  • Anesthesiology Physician
  • Northridge, CA
National Provider Identifier
1386754232
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MOBILE RADIOLOGICAL SERVICES, INC
Practice address
11177 Tampa Ave.
Suite B
Northridge, CA 91326-2254
Phone
(818) 366-0474
Fax
(818) 474-7530
NPI assigned
Aug 30, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Sanjiv K. Jain, M.D.NPI 1477594067
Title
President
Phone
(818) 366-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Radiography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471C3402X
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X
Anesthesiologist AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367H00000X

Addresses

Primary practice location

11177 Tampa Ave.
Suite B
Northridge, CA 91326-2254

Mailing address

P.O. Box 8000
Northridge, CA 91327-8000
Phone (818) 366-0474

National Provider Directory

National Provider Directory
Tax ID family
Mobile Radiological Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11177 Tampa Ave
Ste B
Porter Ranch, CA 91326
Phone (818) 366-0474

Practitioners & affiliated clinicians

Practitioners 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1386754232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8000",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913278000",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 TAMPA AVE.",
            "address_2": "SUITE B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262254",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RADIOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.