NPIMap

Organization Active NPI

Advanced Imaging Center, Inc.

  • Diagnostic Radiology Physician
  • Lancaster, CA
National Provider Identifier
1467638064
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED IMAGING CENTER, INC.
Practice address
43731 15TH St W
Lancaster, CA 93534-4785
Phone
(661) 949-8111
Fax
(661) 940-0994
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Ray H. Hashemi, M.D.NPI 1851355473
Title
President
Phone
(661) 949-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

43731 15TH St W
Lancaster, CA 93534-4785

Mailing address

PO Box 16007
Encino, CA 91416-6007
Phone (661) 949-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000707 CA Part B Supplier - Clinic/Group Practice 6406808427 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Valencia, CA; Ridgecrest, CA; Palmdale, CA; Lancaster, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Imaging Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

43731 15th St W
Ste D
Lancaster, CA 93534
Phone (661) 456-2020

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

25842 Tournament Rd
Valencia, CA 91355
Phone (661) 255-0060

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1467638064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16007",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914166007",
            "telephone_number": "661-949-8111",
            "fax_number": "661-940-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43731 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344785",
            "telephone_number": "661-949-8111",
            "fax_number": "661-940-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "HASHEMI",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-949-8111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.