American Diagnostic, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

TG 561 Issued in CA

Legal business name

AMERICAN DIAGNOSTIC, INC

Practice address

13735 Victory Blvd Ste 4
Van Nuys, CA 91401-6735

Phone

(818) 780-3999

Fax

(818) 780-4999

NPI assigned

Aug 6, 2006

Organization subpart

No

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

Authorized official

Name

Gayk Satamyan

Title

President

Phone

(818) 780-3999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811906985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016735",
            "telephone_number": "818-780-3999",
            "fax_number": "818-780-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016735",
            "telephone_number": "818-780-3999",
            "fax_number": "818-780-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SATAMYAN",
        "authorized_official_first_name": "GAYK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-780-3999"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "TG 561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Van Nuys, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.