Active NPI
Glendale Diagnostic Imaging Network Medical Office, Inc.
- Diagnostic Radiology Physician
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G84687
- Legal business name
- GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC.
- Practice address
- 4910 Van Nuys Blvd Ste 110
Sherman Oaks, CA 91403-1782 - Phone
- (818) 986-8215
- NPI assigned
- Apr 3, 2007
- Last updated
- Sep 19, 2007
- 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
- Maurice J Hale, M.D.
- Title
- President Ceo
- Phone
- (818) 986-8215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G84687 | CA | Primary |
Addresses
Primary practice location
4910 Van Nuys Blvd Ste 110
Sherman Oaks, CA 91403-1782
Mailing address
1220 S Central Ave Ste 201
Glendale, CA 91204-3811
Phone (818) 548-8333
National Provider Directory
National Provider Directory- Tax ID family
- Glendale Diagnostic Imaging Network Medical Office Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1740403104
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1366450116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1467573402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S CENTRAL AVE STE 201",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043811",
"telephone_number": "818-548-8333",
"fax_number": "818-548-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 VAN NUYS BLVD STE 110",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031782",
"telephone_number": "818-986-8215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENDALE DIAGNOSTIC IMAGING NETWORK MEDICAL OFFICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "MAURICE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "818-986-8215",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G84687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.