Organization Active NPI

Premier Health Services Inc

  • Diagnostic Radiology Physician
  • Van Nuys, CA
National Provider Identifier
1689905564
Registry record updated Jan 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A94410 Issued in CA
Legal business name
PREMIER HEALTH SERVICES INC
Practice address
7136 Haskell Ave
Ste 125
Van Nuys, CA 91406-4112
Phone
(818) 302-3402
Fax
(818) 647-0359
NPI assigned
Jan 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2010

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

Authorized official

Name
Robert K Ueda, M.D.
Title
President
Phone
(818) 302-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X A94410 CA Primary

Addresses

Primary practice location

7136 Haskell Ave
Ste 125
Van Nuys, CA 91406-4112

Mailing address

13659 Victory Blvd
Ste 690
Van Nuys, CA 91401-1735
Phone (818) 302-3402

National Provider Directory

National Provider Directory

Locations

7136 Haskell Ave
Ste 125
Van Nuys, CA 91406
Phone (818) 302-3402

13659 Victory Blvd
690
Van Nuys, CA 91401

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263686400000",
    "number": "1689905564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13659 VICTORY BLVD",
            "address_2": "STE 690",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011735",
            "telephone_number": "818-302-3402",
            "fax_number": "818-647-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE",
            "address_2": "STE 125",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-302-3402",
            "fax_number": "818-647-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-01-17",
        "status": "A",
        "authorized_official_last_name": "UEDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-302-3402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A94410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.