Organization Active NPI

Pacific Imaging West, Inc.

  • Diagnostic Ultrasound Physician
  • Burbank, CA
National Provider Identifier
1699710764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
PACIFIC IMAGING WEST, INC.
Practice address
4150 W Riverside Dr Ste 205
Burbank, CA 91505-4149
Phone
(818) 558-7054
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Kristine Michikyan
Title
Ceo
Phone
(818) 558-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

4150 W Riverside Dr Ste 205
Burbank, CA 91505-4149

Mailing address

4150 W Riverside Dr Ste 205
Burbank, CA 91505-4149
Phone (818) 558-7054

National Provider Directory

National Provider Directory

Locations

4150 W Riverside Dr
Ste 205
Burbank, CA 91505
Phone (818) 558-7054

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699710764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W RIVERSIDE DR STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054149",
            "telephone_number": "818-558-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W RIVERSIDE DR STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054149",
            "telephone_number": "818-558-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC IMAGING WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHIKYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-558-7054",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.