Active NPI
Valley Diagnostic Services Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Panorama City, CA
National Provider Identifier
1730873340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231009000686 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5799130902 | Practice locations: Panorama City, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sherman Oaks, CA
- NPI 1407201916
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.