Organization Active NPI

MD Ultrasound, Inc.

  • Diagnostic Ultrasound Physician
  • Burbank, CA
National Provider Identifier
1497269369
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
145997 Issued in CA
Legal business name
MD ULTRASOUND, INC.
Practice address
356 E Olive Ave Ste 102
Burbank, CA 91502-1228
Phone
(747) 229-9000
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Arman Antanyan, RVT
Title
Ceo
Phone
(323) 770-3880

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 145997 CA Primary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 192064 CA
Sonography Radiologic Technologist 2471S1302X 199625 CA
Vascular Sonography Radiologic Technologist 2471V0105X 145997 CA

Addresses

Primary practice location

356 E Olive Ave Ste 102
Burbank, CA 91502-1228

Mailing address

356 E Olive Ave Ste 102
Burbank, CA 91502-1228
Phone (747) 229-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123003063 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971862798 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1497269369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E OLIVE AVE STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021228",
            "telephone_number": "747-229-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E OLIVE AVE STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021228",
            "telephone_number": "747-229-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ULTRASOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "ANTANYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-770-3880",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "145997",
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "CA",
            "license": "192064",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "199625",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "145997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.