NPIMap

Organization Active NPI

F&M Radiology Medical Center Inc

Doing business as United Sleep Lab

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Encino, CA
National Provider Identifier
1891042123
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A40559 Issued in CA
Legal business name
F&M RADIOLOGY MEDICAL CENTER INC
Doing business as
United Sleep Lab
Practice address
16661 Ventura Blvd
226
Encino, CA 91436-1914
Phone
(818) 849-5903
Fax
(818) 776-1069
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
F&M RADIOLOGY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Moossa Heikali, M.DNPI 1962448431
Title
Owner/Medical Director/Ceo
Phone
(818) 708-6163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A40559 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
226
Encino, CA 91436-1914

Mailing address

18065 Ventura Blvd
Encino
Encino, CA 91316-3517
Phone (818) 708-6163

Other names 1

  • UNITED SLEEP LAB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
F M Radiology Medical Cent7 organizations share this tax ID, including this one
Part of
F M Radiology Medical Cent

Other organizations with this tax ID 6

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

Locations

18065 Ventura Blvd
Encino, CA 91316
Phone (818) 708-6163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1891042123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18065 VENTURA BLVD",
            "address_2": "ENCINO",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163517",
            "telephone_number": "818-708-6163",
            "fax_number": "818-344-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "226",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-849-5903",
            "fax_number": "818-776-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F&M RADIOLOGY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "F&M RADIOLOGY  MEDICAL CENTER INC",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "HEIKALI",
        "authorized_official_first_name": "MOOSSA",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "818-708-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A40559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED SLEEP LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.