Pacific Specialists Imaging Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PACIFIC SPECIALISTS IMAGING INC

Practice address

11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807

Phone

(310) 477-5558

Fax

(310) 477-7281

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chester Frank Griffiths, MD

Title

President

Phone

(310) 477-5558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Omid Benjamin Mehdizadeh

  • Otolaryngology Physician
  • Santa Monica, CA
  • NPI 1770816464
  NPD
• Michael Jacob CHI-Wing Yong, MD

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1467108647
  NPD

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1659503548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPECIALISTS IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Rejuvenation Medical, a Professional Corp.
• Pacific Rim Electrophysiology Medical GRP, Inc.
• Pacific Senior Medical Group
• Pacific Sleep Medicine Services, Inc.
• Pacific Sleep Medicine, a Medical Corporation
• Pacific Surgical Care
• Pacific Vascucare Surgery Center
• Pacific Vascucare, Inc.
• Pacific West Coast Health Medical Therapy Center Inc.
• Pacific West Counseling Center Inc

• Radiology Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.