Individual provider Active NPI

Kevork Krajian, RDMS

  • Sonography Radiologic Technologist
  • Glendale, CA
National Provider Identifier
1689132532
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
169429 Issued in CA
Practice address
2645 Risa Dr
Glendale, CA 91208-2355
Phone
(818) 433-1993
Fax
(818) 245-6335
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X 169429 CA Primary

Addresses

Primary practice location

2645 Risa Dr
Glendale, CA 91208-2355

Mailing address

2645 Risa Dr
Glendale, CA 91208-2355
Phone (818) 433-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169429CAMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maternity Imaging Inc Sonography CurrentSince Jan 22, 2023 Accepting new patients

Organizations & group practices 1

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1689132532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 RISA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082355",
            "telephone_number": "818-433-1993",
            "fax_number": "818-245-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 RISA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082355",
            "telephone_number": "818-433-1993",
            "fax_number": "818-245-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJIAN",
        "first_name": "KEVORK",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "169429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2024; 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.