Active NPI
Pure Health Medical
- Diagnostic Radiology Physician
- Tarzana, CA
National Provider Identifier
1699635672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryNPI 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.