Individual provider Active NPI

Mauricio Batres

  • Sonography Radiologic Technologist
  • Granada Hills, CA
National Provider Identifier
1740002872
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
179466 Issued in CA
Practice address
17149 Chatsworth St Apt 108
Granada Hills, CA 91344-5751
Phone
(310) 237-8424
NPI assigned
Oct 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 179466 CA Primary

Addresses

Primary practice location

17149 Chatsworth St Apt 108
Granada Hills, CA 91344-5751

Mailing address

17149 Chatsworth St Apt 108
Granada Hills, CA 91344-5751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
179466CAMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerful Diagnostic Imaging CurrentSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1740002872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17149 CHATSWORTH ST APT 108",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17149 CHATSWORTH ST APT 108",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445751",
            "telephone_number": "310-237-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATRES",
        "first_name": "MAURICIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "179466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.