Organization Active NPI

F&M Radiology Medical Center Inc

  • Clinical Cardiac Electrophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1750614343
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
F&M RADIOLOGY MEDICAL CENTER INC
Practice address
11022 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7558
Phone
(310) 481-0858
Fax
(310) 474-3416
NPI assigned
Sep 14, 2009
Organization subpart
Yes
Parent organization
F&M RADIOLOGY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Ray Salari, M.D
Title
Medical Director
Phone
(818) 708-6163

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

11022 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7558

Mailing address

PO Box 49911
Los Angeles, CA 90049-0911
Phone (818) 708-6163

National Provider Directory

National Provider Directory
Part of
F M Radiology Medical Center

Locations

1762 Westwood Blvd
Ste 320
Los Angeles, CA 90024
Phone (310) 481-0858

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1750614343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49911",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490911",
            "telephone_number": "818-708-6163",
            "fax_number": "818-344-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257558",
            "telephone_number": "310-481-0858",
            "fax_number": "310-474-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F&M RADIOLOGY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "F&M RADIOLOGY MEDICAL CENTER INC",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "SALARI",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-708-6163",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.