Organization Active NPI

Yevgeny Bukrinsky

Doing business as Valley Imaging Associates

  • Physiological Laboratory
  • Sherman Oaks, CA
National Provider Identifier
1669526703
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
YEVGENY BUKRINSKY
Doing business as
Valley Imaging Associates
Practice address
15335 Morrison St Ste 115
Sherman Oaks, CA 91403-1596
Phone
(818) 708-0268
Fax
(818) 708-0502
NPI assigned
Jan 23, 2007
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Yevgeny Bukrinsky
Title
Owner
Phone
(818) 765-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

15335 Morrison St Ste 115
Sherman Oaks, CA 91403-1596

Mailing address

15335 Morrison St Ste 115
Sherman Oaks, CA 91403-1596
Phone (818) 708-0268

Other names 1

  • Valley Imaging Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000442 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355238460 Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

15335 Morrison St
Ste 115
Sherman Oaks, CA 91403
Phone (818) 708-0268

5554 Reseda Blvd
Ste 210
Tarzana, CA 91356
Phone (818) 415-9391

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1669526703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 115",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031596",
            "telephone_number": "818-708-0268",
            "fax_number": "323-203-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST STE 115",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031596",
            "telephone_number": "818-708-0268",
            "fax_number": "818-708-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENY BUKRINSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BUKRINSKY",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-765-5445"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Imaging Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Imaging Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.