Organization Active NPI

Gamma Diagnostic Inc

  • Mobile Radiology Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1497504518
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
GAMMA DIAGNOSTIC INC
Practice address
14126 Sherman Way Ste 201
Van Nuys, CA 91405-5631
Phone
(323) 540-8150
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Grigor Arakelian
Title
Ceo
Phone
(323) 540-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

14126 Sherman Way Ste 201
Van Nuys, CA 91405-5631

Mailing address

14126 Sherman Way Ste 201
Van Nuys, CA 91405-5631
Phone (323) 540-8150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828003124 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567963846 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

14126 Sherman Way
Ste 201
Van Nuys, CA 91405
Phone (323) 540-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1497504518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055631",
            "telephone_number": "323-540-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055631",
            "telephone_number": "323-540-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ARAKELIAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-540-8150"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.