NPIMap

Individual provider Active NPI

Danylo Kihiczak, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1467486050
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G84422 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
Jul 10, 2006
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G84422 CA Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other identifiers 3

IdentifierTypeStateIssuer
GR0106039MedicaidCA
00G844220OtherCABLUE SHIELD
00G844220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000955 CA Practitioner - Diagnostic Radiology 4284695842 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Practice addresses (Care Compare)

18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 435-1433

3521 Wonder View Dr
Los Angeles, CA 90068-1537
Phone (818) 639-2901

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

638 Woodruff Ave
Los Angeles, CA 90024-2545
Phone (818) 435-1433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 3, 2011 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 12, 2020 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 13, 2023 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 28, 2011 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Aug 10, 2010 Accepting new patients
Stanton H. Joe, M.D., a Professional Corporation Past Accepting new patients
Stanton H. Joe, M.D., a Professional Corporation Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
#1112
Indio, CA 92201

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2428 Santa Monica Blvd
Ste 100
Santa Monica, CA 90404
Phone (310) 264-1777

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1467486050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIHICZAK",
        "first_name": "DANYLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G844220",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G844220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.