Active NPI
Ingtrust Diagnostics Inc
- Mobile Radiology Clinic/Center
- Van Nuys, CA
National Provider Identifier
1760027346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- INGTRUST DIAGNOSTICS INC
- Practice address
- 6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645 - Phone
- (818) 453-8238
- Fax
- (818) 453-8339
- NPI assigned
- Nov 7, 2019
- 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
- Inga Amirian
- Title
- Chief Executive Officer
- Phone
- (818) 453-8238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645
Mailing address
6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645
Phone (818) 453-8238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191212001479 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8628401296 | Practice locations: Van Nuys, CA |
National Provider Directory
National Provider DirectoryLocations
6360 Van Nuys Blvd
Ste 118
Van Nuys, CA 91401
Phone (818) 453-8238
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1578578266
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1902858368
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1972640142
-
- General Practice Physician
- North Hollywood, CA
- NPI 1366472045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576627200000",
"number": "1760027346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 VAN NUYS BLVD STE 118",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016645",
"telephone_number": "818-453-8238",
"fax_number": "818-453-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 VAN NUYS BLVD STE 118",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016645",
"telephone_number": "818-453-8238",
"fax_number": "818-453-8339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INGTRUST DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-07",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A",
"authorized_official_last_name": "AMIRIAN",
"authorized_official_first_name": "INGA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "818-453-8238"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.