Organization Active NPI

Victory Diagnostics Inc.

  • Diagnostic Radiology Physician
  • North Hollywood, CA
National Provider Identifier
1710504055
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VICTORY DIAGNOSTICS INC.
Practice address
12444 Victory Blvd # 407
North Hollywood, CA 91606-3199
Phone
(747) 256-5460
NPI assigned
Jul 2, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Mr. Vartan Sarkisian
Title
Ceo
Phone
(747) 203-9067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Mobile Radiology Clinic/Center 261QR0208X NU

Addresses

Primary practice location

12444 Victory Blvd # 407
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd # 406
North Hollywood, CA 91606-3199
Phone (747) 256-5460

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
#406
North Hollywood, CA 91606

12444 Victory Blvd
#407
North Hollywood, CA 91606
Phone (747) 256-5460

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1710504055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 406",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-256-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 407",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-256-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-10-01",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "SARKISIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-203-9067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.