Individual provider Active NPI

Gregory Barsom, RVT

  • Sonography Specialist/Technologist Cardiovascular
  • Los Angeles, CA
National Provider Identifier
1477198125
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
147770 Issued in CA
Practice address
4740 Los Feliz Blvd
Los Angeles, CA 90027-1918
Phone
(323) 806-6670
NPI assigned
Nov 15, 2019
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 147770 CA Primary

Addresses

Primary practice location

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918

Mailing address

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918
Phone (323) 806-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147770CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HD Diagnostic Imaging, Inc. CurrentSince Nov 24, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1477198125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 LOS FELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271918",
            "telephone_number": "323-806-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 LOS FELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271918",
            "telephone_number": "323-806-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOM",
        "first_name": "GREGORY",
        "credential": "RVT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "CA",
            "license": "147770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.