Vadim Chudnovsky, M.D., Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A48658 Issued in CA

Legal business name

VADIM CHUDNOVSKY, M.D., INC.

Practice address

1440 S State College Blvd
Suite 3-M
Anaheim, CA 92806-5724

Phone

(714) 758-2985

Fax

(714) 758-0770

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vadim Chudnovsky, M.D.

Title

President

Phone

(714) 758-2985

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vadim Chudnovsky M D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vadim Chudnovsky M D Inc

  • Mobile Mammography Clinic/Center
  • Anaheim, CA
  • NPI 1275762379
  NPD tax ID

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1851589519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S STATE COLLEGE BLVD",
            "address_2": "SUITE 3-M",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065724",
            "telephone_number": "714-758-2985",
            "fax_number": "714-758-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S STATE COLLEGE BLVD",
            "address_2": "SUITE 3-M",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065724",
            "telephone_number": "714-758-2985",
            "fax_number": "714-758-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADIM CHUDNOVSKY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CHUDNOVSKY",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-758-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A48658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V.Mai DDS Inc
• VA Loma Linda Healthcare System
• Angeline Vaccarezza
• Yvette Vaccaro
• Vadim Chudnovsky M D Inc
• Lydia J. Vaias, MD
• Val H Tran Dentistry Corp
• Adrian Maria Valadez
• Absalon Valdez
• Karla L Valdez, BA, WCII

• Diagnostic Radiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.