Organization Active NPI

University Radiology Network Inc

  • Diagnostic Radiology Physician
  • Sherman Oaks, CA
National Provider Identifier
1902843790
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UNIVERSITY RADIOLOGY NETWORK INC
Practice address
14915 Burbank Blvd
Sherman Oaks, CA 91411-3610
Phone
(818) 909-7111
Fax
(818) 909-6767
NPI assigned
Jun 1, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Renda Mesbahi
Title
Manager
Phone
(818) 909-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

14915 Burbank Blvd
Sherman Oaks, CA 91411-3610

Mailing address

14915 Burbank Blvd
Sherman Oaks, CA 91411-3610
Phone (818) 909-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000422 CA Practitioner - Diagnostic Radiology 6103856893 Reassigns benefits to 24 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16133 Ventura Blvd
Ste 400B
Encino, CA 91436
Phone (818) 380-5084

2461 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404
Phone (866) 487-7621

18388 Clark St
#115
Tarzana, CA 91356

18388 Clark St
Ste 115
Tarzana, CA 91356
Phone (818) 609-0911

5525 Etiwanda Ave
Unit 311
Tarzana, CA 91356
Phone 8189097101801

5620 Wilbur Ave
Ste 330
Tarzana, CA 91356
Phone (818) 345-3285

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1902843790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14915 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113610",
            "telephone_number": "818-909-7111",
            "fax_number": "818-909-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14915 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113610",
            "telephone_number": "818-909-7111",
            "fax_number": "818-909-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY RADIOLOGY NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "MESBAHI",
        "authorized_official_first_name": "RENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-909-7101"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.