Medical Specialist Imaging Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MEDICAL SPECIALIST IMAGING INC.

Practice address

13719 Ventura Blvd
Ste F
Sherman Oaks, CA 91423-3032

Phone

(818) 789-3157

Fax

(818) 305-6848

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Yevgeniy D Shevekhman

Title

Owner

Phone

(818) 789-3157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diana D Shevekhman, OTR/L

  • Occupational Therapist
  • Sylmar, CA
  • NPI 1821688961
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1669698890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 VENTURA BLVD",
            "address_2": "STE F",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233032",
            "telephone_number": "818-789-3157",
            "fax_number": "818-305-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 VENTURA BLVD",
            "address_2": "STE F",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233032",
            "telephone_number": "818-789-3157",
            "fax_number": "818-305-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALIST IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "SHEVEKHMAN",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-789-3157"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.