Organization Active NPI

BG DX Inc

  • Diagnostic Ultrasound Physician
  • Los Angeles, CA
National Provider Identifier
1548816531
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
BG DX INC
Practice address
1750 N Beverly Glen Blvd
Los Angeles, CA 90077-2710
Phone
(310) 562-9066
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Raisa Aytayan
Title
Ceo
Phone
(424) 369-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

1750 N Beverly Glen Blvd
Los Angeles, CA 90077-2710

Mailing address

1750 N Beverly Glen Blvd
Los Angeles, CA 90077-2710
Phone (310) 562-9066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1548816531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N BEVERLY GLEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772710",
            "telephone_number": "310-562-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N BEVERLY GLEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772710",
            "telephone_number": "310-562-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG DX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "AYTAYAN",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-369-5012"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "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 Aug 14, 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.