Organization Active NPI

Pure Health Medical

  • Diagnostic Radiology Physician
  • Tarzana, CA
National Provider Identifier
1699635672
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PURE HEALTH MEDICAL
Practice address
6047 Tampa Ave Suite 102
Tarzana, CA 91356
Phone
(818) 600-1260
Fax
(818) 337-7145
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Cherise M Mashhoud
Title
Clinic Manager
Phone
(818) 600-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6047 Tampa Ave Suite 102
Tarzana, CA 91356

Mailing address

11024 Balboa Blvd # 1419
Granada Hills, CA 91344-5007
Phone (819) 600-1260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1699635672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 BALBOA BLVD # 1419",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445007",
            "telephone_number": "819-600-1260",
            "fax_number": "818-337-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-600-1260",
            "fax_number": "818-337-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MASHHOUD",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "818-600-1260"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.