Organization Active NPI

Sirius Imaging Inc

  • Diagnostic Ultrasound Physician
  • Panorama City, CA
National Provider Identifier
1821589151
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
SIRIUS IMAGING INC
Practice address
14637 1/2 Titus St # B
Panorama City, CA 91402-4942
Phone
(818) 510-0977
Fax
(818) 510-0979
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Mr. Mihran Alexander Gharibjanyan
Title
President/Ceo
Phone
(818) 510-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

14637 1/2 Titus St # B
Panorama City, CA 91402-4942

Mailing address

14637 1/2 Titus St # B
Panorama City, CA 91402-4942
Phone (818) 510-0977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703002604 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971859026 Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

14637 Titus St
Ste B
Panorama City, CA 91402
Phone (818) 510-0977

14637 Titus St
#1-2
Panorama City, CA 91402
Phone (307) 920-1688

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1821589151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 1/2 TITUS ST # B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024942",
            "telephone_number": "818-510-0977",
            "fax_number": "818-510-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 1/2 TITUS ST # B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024942",
            "telephone_number": "818-510-0977",
            "fax_number": "818-510-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GHARIBJANYAN",
        "authorized_official_first_name": "MIHRAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-510-0977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.