NPIMap

Organization Active NPI

Professional Mammography Imaging, Inc.

  • Mammography Radiologic Technologist
  • Reseda, CA
National Provider Identifier
1689965774
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
238079 Issued in CA
Legal business name
PROFESSIONAL MAMMOGRAPHY IMAGING, INC.
Practice address
18429 Sherman Way
Reseda, CA 91335-4358
Phone
(818) 343-6009
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Karine Gasparyan, RTNPI 1851573752
Title
President
Phone
(818) 343-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M2300X 238079 CA Primary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X 36356 CA

Addresses

Primary practice location

18429 Sherman Way
Reseda, CA 91335-4358

Mailing address

18429 Sherman Way
Reseda, CA 91335-4358
Phone (818) 343-6009

Other identifiers 1

IdentifierTypeStateIssuer
238079OtherCAMAMMOGRAPHY FACILITY

National Provider Directory

National Provider Directory

Locations

18429 Sherman Way
Reseda, CA 91335
Phone (818) 343-6009

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1689965774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18429 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354358",
            "telephone_number": "818-343-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18429 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354358",
            "telephone_number": "818-343-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MAMMOGRAPHY IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-343-6009",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Mammography",
            "state": "CA",
            "license": "238079",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "36356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY FACILITY",
            "identifier": "238079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.