Active NPI
Hedayat Golcheh, M.D.
- Diagnostic Radiology Physician
- Encino, CA
National Provider Identifier
1811039233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A040588
- Practice address
- 16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124 - Phone
- (818) 905-7323
- Fax
- (818) 783-6108
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A040588 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd
Suite # 787
Encino, CA 91436-2124
Phone (818) 905-7323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A040588 | Other | CA | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A040588 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Imaging and Radiology Center | Past | Accepting new patients | |
| Royal MRI & Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Encino, CA
- NPI 1609147552
-
- Radiology Clinic/Center
- Encino, CA
- NPI 1164564597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1811039233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE # 787",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-905-7323",
"fax_number": "818-783-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE # 787",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-905-7323",
"fax_number": "818-783-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLCHEH",
"first_name": "HEDAYAT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A040588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A040588",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.