Organization Active NPI

Valley Diagnostic Services Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Panorama City, CA
National Provider Identifier
1730873340
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
VALLEY DIAGNOSTIC SERVICES INC
Practice address
14621 Titus St Ste 209
Panorama City, CA 91402-4972
Phone
(818) 290-3763
Fax
(818) 290-3618
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Juan L Morales Porras
Title
Ceo
Phone
(818) 824-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

14621 Titus St Ste 209
Panorama City, CA 91402-4972

Mailing address

14621 Titus St Ste 209
Panorama City, CA 91402-4972
Phone (818) 290-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231009000686 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5799130902 Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1730873340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 209",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024972",
            "telephone_number": "818-290-3763",
            "fax_number": "818-290-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 209",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024972",
            "telephone_number": "818-290-3763",
            "fax_number": "818-290-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MORALES PORRAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-824-1031"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.