Organization Active NPI

Dynamic Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1841432994
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DYNAMIC DIAGNOSTIC IMAGING CENTER
Practice address
14532 Friar St Ste D
Van Nuys, CA 91411-4715
Phone
(818) 909-9696
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Shahriar S. Rad, DC
Title
President
Phone
(818) 909-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

14532 Friar St Ste D
Van Nuys, CA 91411-4715

Mailing address

PO Box 19333
Encino, CA 91416-9333
Phone (818) 909-9696

National Provider Directory

National Provider Directory

Locations

14532 Friar St
Ste D
Van Nuys, CA 91411
Phone (818) 909-9696

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1841432994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19333",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914169333",
            "telephone_number": "818-909-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 FRIAR ST STE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114715",
            "telephone_number": "818-909-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-909-9696",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.