S.a. Diagnostic, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

S.A. DIAGNOSTIC, INC.

Practice address

5816 Lankershim Blvd
Suite # 4
North Hollywood, CA 91601-1671

Phone

(818) 487-7307

Fax

(818) 487-7307

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sergey Timokhin

Title

President

Phone

(818) 487-7307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396792685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 LANKERSHIM BLVD",
            "address_2": "SUITE # 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011671",
            "telephone_number": "818-487-7307",
            "fax_number": "818-487-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 LANKERSHIM BLVD",
            "address_2": "SUITE # 4",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011671",
            "telephone_number": "818-487-7307",
            "fax_number": "818-487-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A. DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMOKHIN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-487-7307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in North Hollywood, CA
• Providers in North Hollywood, 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 Aug 22, 2020; 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.