Active NPI
Sonomed Diagnostic, Inc.
- Physiological Laboratory
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SONOMED DIAGNOSTIC, INC.
- Practice address
- 639 S Glenwood PL # 203
Burbank, CA 91506-2819 - Phone
- (818) 433-7582
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 30, 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
- Vahe Galstyan
- Title
- President/Ceo
- Phone
- (818) 281-3560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
639 S Glenwood PL # 203
Burbank, CA 91506-2819
Mailing address
639 S Glenwood PL # 203
Burbank, CA 91506-2819
Phone (818) 433-7582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250408002005 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2567986839 | Practice locations: Burbank, CA |
National Provider Directory
National Provider DirectoryLocations
639 S Glenwood Pl
#203
Burbank, CA 91506
Phone (818) 433-7582
639 S Glenwood Pl
Ste 203
Burbank, CA 91506
Phone (818) 281-3560
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Interpreter
- Tujunga, CA
- NPI 1548426828
-
- Specialist
- Westlake, CA
- NPI 1033188529
-
- Interventional Cardiology Physician
- Glendale, CA
- NPI 1316156797
-
- Diagnostic Radiology Physician
- Rolling Hills, CA
- NPI 1255415683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1912714619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 S GLENWOOD PL # 203",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062819",
"telephone_number": "818-433-7582",
"fax_number": "818-433-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 S GLENWOOD PL # 203",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062819",
"telephone_number": "818-433-7582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONOMED DIAGNOSTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "GALSTYAN",
"authorized_official_first_name": "VAHE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-281-3560"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.