Active NPI
MD Ultrasound, Inc.
- Diagnostic Ultrasound Physician
- Burbank, CA
National Provider Identifier
1497269369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 145997
- 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, 2017
- 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
- Arman Antanyan, RVT
- Title
- Ceo
- Phone
- (323) 770-3880
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180123003063 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3971862798 | Practice locations: Burbank, CA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- San Bernardino, CA
- NPI 1629018817
-
- Interventional Cardiology Physician
- Ventura, CA
- NPI 1619971538
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.