Individual provider Active NPI

Theodore Stuart Feit, M.D.

  • Specialist
  • Burbank, CA
National Provider Identifier
1619983590
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G32804 Issued in CA
Practice address
2601 W Alameda Ave
Suite 310
Burbank, CA 91505-4800
Phone
(818) 636-6463
Fax
(818) 345-3533
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G32804 CA Primary
Mobile Radiology Clinic/Center 261QR0208X G302804 CA
Physiological Laboratory 293D00000X G32804 CA

Addresses

Primary practice location

2601 W Alameda Ave
Suite 310
Burbank, CA 91505-4800

Mailing address

2601 W Alameda Ave
Suite 310
Burbank, CA 91505-4800
Phone (818) 636-6463

Other identifiers 1

IdentifierTypeStateIssuer
00G328040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001129 CA Practitioner - Diagnostic Radiology 6406835420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4418 Vineland Ave
Suite 112
Toluca Lake, CA 91602-2159
Phone (818) 363-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G32804CAMDSpecialist
G302804CAMDMobile Radiology Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Techimaging Inc Physiological Laboratory CurrentSince May 1, 2017 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Desert Advanced Imaging Medical Center PastSince Mar 22, 2011 Accepting new patients

Locations

2650 Jones Way
Ste 1
Simi Valley, CA 93065
Phone (805) 522-1844

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1619983590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-636-6463",
            "fax_number": "818-345-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-636-6463",
            "fax_number": "818-345-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIT",
        "first_name": "THEODORE",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G32804",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "G302804",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "G32804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G328040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.