Active NPI
Rita Baneviciene
- Sonography Radiologic Technologist
- Los Angeles, CA
National Provider Identifier
1780997528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- RDMS113174
- Practice address
- 4059 E Olympic Blvd
Los Angeles, CA 90023-3330 - Phone
- (323) 881-9444
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | RDMS113174 | CA | Primary |
Addresses
Primary practice location
4059 E Olympic Blvd
Los Angeles, CA 90023-3330
Mailing address
4059 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone (323) 881-9444
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
| License | State | Type | Specialty |
|---|---|---|---|
| RDMS113174 | CA | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1780997528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-881-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4059 E OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233330",
"telephone_number": "323-881-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANEVICIENE",
"first_name": "RITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "CA",
"license": "RDMS113174",
"primary": true
}
],
"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 Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.