Burbank Imaging and Open MRI Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

BT-1011543 Issued in CA

Legal business name

BURBANK IMAGING AND OPEN MRI INC

Practice address

333 E Magnolia Blvd Ste 104
#104
Burbank, CA 91502-1198

Phone

(818) 478-8060

Fax

(818) 478-2960

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Nicky Golbahar

Title

Ceo

Phone

(818) 478-8060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Alexander Grimm, MD

  • Diagnostic Radiology Physician
  • West Hollywood, CA
  • NPI 1326123951
  NPD

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1710337357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD STE 104",
            "address_2": "#104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021198",
            "fax_number": "818-478-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD STE 104",
            "address_2": "#104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021198",
            "telephone_number": "818-478-8060",
            "fax_number": "818-478-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK IMAGING AND OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "GOLBAHAR",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-478-8060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "BT-1011543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burbank Home & Palliative Care Inc
• Burbank Home Health Care, Inc
• Burbank Hospice & Palliative Services, Inc.
• Burbank Hospice Care, Inc.
• Burbank Hospice, Inc.
• Burbank Medical Products, Inc.
• Burbank Medical Supply, Inc.
• Burbank Occupational Health Center Inc
• Burbank Open MRI Corp
• Burbank Optometric Center, Inc

• Radiology Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.