NPIMap

Organization Active NPI

Professional Imaging Medical Group

  • Diagnostic Radiology Physician
  • Mission Hills, CA
National Provider Identifier
1447477161
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROFESSIONAL IMAGING MEDICAL GROUP
Practice address
15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone
(818) 365-8051
Fax
(818) 898-4451
NPI assigned
Apr 20, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Gregory Lewis Paranay, M.D.
Title
Partner
Phone
(818) 898-4530

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X
Neuroradiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0700X
Nuclear Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0904X
Pediatric Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085P0229X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

15031 Rinaldi St
Mission Hills, CA 91345-1207

Mailing address

25020 Avenue Stanford
Suite 50
Valencia, CA 91355-3430
Phone (661) 295-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, HI, WA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20221104002229 MO Part B Supplier - Clinic/Group Practice 2062440126 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20221221003218 HI Part B Supplier - Clinic/Group Practice 2062440126 Receives reassigned benefits from 1 practitioner
Practice locations: Kaneohe, HI
O20221223001196 WA Part B Supplier - Clinic/Group Practice 2062440126 Receives reassigned benefits from 8 practitioners
Practice locations: Sammamish, WA; Seattle, WA; Everett, WA; Camas, WA; Bothell, WA; Bellevue, WA
O20230207002319 DC Part B Supplier - Clinic/Group Practice 2062440126 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

15650 Devonshire St
Granada Hills, CA 91344
Phone (818) 351-7321

15650 Devonshire St
Ste 208
Granada Hills, CA 91344
Phone (818) 488-1145

11333 Sepulveda Blvd
Ste 3200
Mission Hills, CA 91345
Phone (818) 837-5776

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1447477161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25020 AVENUE STANFORD",
            "address_2": "SUITE 50",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553430",
            "telephone_number": "661-295-0260",
            "fax_number": "661-295-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-365-8051",
            "fax_number": "818-898-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "PARANAY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-898-4530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.