Organization Active NPI

Whitsett Diagnostic Inc

  • Mobile Radiology Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1780201012
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
WHITSETT DIAGNOSTIC INC
Practice address
12444 Victory Blvd Ste 407
North Hollywood, CA 91606-3199
Phone
(818) 210-7784
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Ms. Elita Hovhannisian
Title
Ceo
Phone
(747) 256-5460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

12444 Victory Blvd Ste 407
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 407
North Hollywood, CA 91606-3199
Phone (818) 210-7784

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 407
North Hollywood, CA 91606
Phone (747) 600-0015

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1780201012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 407",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-210-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 407",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-210-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITSETT DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISIAN",
        "authorized_official_first_name": "ELITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-256-5460",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.