Active NPI
Pro-Care Diagnostic Services Inc.
- Sonography Radiologic Technologist
- Glendale, CA
National Provider Identifier
1417012147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- PRO-CARE DIAGNOSTIC SERVICES INC.
- Practice address
- 512 E Wilson Ave
307
Glendale, CA 91206-4351 - Phone
- (818) 638-8580
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Piruza Lisa Balyan
- Title
- Ceo
- Phone
- (818) 638-8580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | Primary | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
512 E Wilson Ave
307
Glendale, CA 91206-4351
Mailing address
512 E Wilson Ave
307
Glendale, CA 91206-4351
Phone (818) 638-8580
National Provider Directory
National Provider DirectoryLocations
512 E Wilson Ave
Ste 307
Glendale, CA 91206
Phone (818) 638-8580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1417012147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E WILSON AVE",
"address_2": "307",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064351",
"telephone_number": "818-638-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E WILSON AVE",
"address_2": "307",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064351",
"telephone_number": "818-638-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-CARE DIAGNOSTIC SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BALYAN",
"authorized_official_first_name": "PIRUZA",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-638-8580"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.