Active NPI
Pollux Imaging Inc
- Neurology Physician
- Glendale, CA
National Provider Identifier
1831944156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- POLLUX IMAGING INC
- Practice address
- 1545 N Verdugo Rd
Glendale, CA 91208-2841 - Phone
- (747) 609-1032
- Fax
- (747) 309-1033
- NPI assigned
- Apr 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naira Oganesyan
- Title
- Manager
- Phone
- (747) 609-1032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1545 N Verdugo Rd
Glendale, CA 91208-2841
Mailing address
1545 N Verdugo Rd
Glendale, CA 91208-2841
Phone (747) 609-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240911003362 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5890235220 | Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryLocations
1545 N Verdugo Rd
Glendale, CA 91208
Phone (747) 609-1032
1545 N Verdugo Rd
Ste 220
Glendale, CA 91208
Phone (747) 609-1032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Torrance, CA
- NPI 1366482960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1831944156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 N VERDUGO RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082841",
"telephone_number": "747-609-1032",
"fax_number": "747-309-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 N VERDUGO RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082841",
"telephone_number": "747-609-1032",
"fax_number": "747-309-1033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLLUX IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "OGANESYAN",
"authorized_official_first_name": "NAIRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "747-609-1032"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.