Organization Active NPI

Pacific Imaging Enterprises, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Reseda, CA
National Provider Identifier
1508282401
Registry record updated Mar 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
PACIFIC IMAGING ENTERPRISES, INC.
Practice address
19231 Victory Blvd
Suite 153
Reseda, CA 91335-6308
Phone
(818) 654-6830
Fax
(818) 654-6834
NPI assigned
Mar 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2014

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

Authorized official

Name
Mr. Sam S Ektefaie
Title
Ceo
Phone
(818) 636-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

19231 Victory Blvd
Suite 153
Reseda, CA 91335-6308

Mailing address

19231 Victory Blvd
Suite 153
Reseda, CA 91335-6308
Phone (818) 654-6830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1508282401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 153",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-654-6830",
            "fax_number": "818-654-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 153",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-654-6830",
            "fax_number": "818-654-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC IMAGING ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "EKTEFAIE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-636-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.