Ultramed Diagnostic Radiology Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ULTRAMED DIAGNOSTIC RADIOLOGY INC

Practice address

6613 Columbus Ave
Van Nuys, CA 91405-4517

Phone

(818) 290-3268

Fax

(818) 290-3274

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Ser-Manukian

Title

President/Owner

Phone

(818) 290-3268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yury Fayner, MD

  • Diagnostic Radiology Physician
  • Ridgecrest, CA
  • NPI 1336261684
  NPD
• Marcus Minh Van, M.D.

  • Diagnostic Radiology Physician
  • El Cajon, CA
  • NPI 1710991997
  NPD
• Henry Rick Tseng, DPM

  • Podiatrist
  • West Covina, CA
  • NPI 1295733855
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1780250209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 COLUMBUS AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054517",
            "telephone_number": "818-290-3268",
            "fax_number": "818-290-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 COLUMBUS AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054517",
            "telephone_number": "818-290-3268",
            "fax_number": "818-290-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAMED DIAGNOSTIC RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SER-MANUKIAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-290-3268"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Ulanday
• Zinada Ulko
• Nataly Ulloa
• Ultimate Pharmacy Inc (Ultimate Pharmacy)
• Ultra Care Hospice, Inc
• Jeannie Michelle Umanzor, DNP, FNP-C, PMHNP-BC
• Paul Umukoro, AODC
• Liam Unanue
• Unconditional Care Home Health
• Unicare Pharmacy Inc

• Diagnostic Radiology Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.

Verify at the official NPI Registry.