NPIMap

Organization Active NPI

Anna Ghazanchyan

Doing business as Modern Imaging

  • Vascular Specialist/Technologist Cardiovascular
  • Glendale, CA
National Provider Identifier
1679703847
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
ANNA GHAZANCHYAN
Doing business as
Modern Imaging
Practice address
801 S Chevy Chase Dr
# 60
Glendale, CA 91205-4431
Phone
(818) 240-7744
Fax
(818) 240-7755
NPI assigned
Jul 21, 2009
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Anna Ghazanchyan, RDCS, RVTNPI 1750511804
Title
Owner
Phone
(818) 240-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Cardiovascular Specialist/Technologist 246X00000X NU
Vascular Specialist/Technologist Cardiovascular 246XC2903X NU Primary
Interpreter 171R00000X NU

Addresses

Primary practice location

801 S Chevy Chase Dr
# 60
Glendale, CA 91205-4431

Mailing address

801 S Chevy Chase Dr
# 60
Glendale, CA 91205-4431
Phone (818) 240-7744

Other names 1

  • MODERN IMAGING Doing business as

National Provider Directory

National Provider Directory

Locations

801 S Chevy Chase Dr
Ste 60
Glendale, CA 91205
Phone (818) 240-7744

Practitioners & affiliated clinicians

Practitioners 1

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": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1679703847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "# 60",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-240-7744",
            "fax_number": "818-240-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "# 60",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-240-7744",
            "fax_number": "818-240-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA GHAZANCHYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "GHAZANCHYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-240-7744",
        "authorized_official_credential": "RDCS, RVT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.