Organization Active NPI

Pro-Care Diagnostic Services Inc.

  • Sonography Radiologic Technologist
  • Glendale, CA
National Provider Identifier
1417012147
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X Primary
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.