Organization Active NPI

Sonomed Diagnostic, Inc.

  • Physiological Laboratory
  • Burbank, CA
National Provider Identifier
1912714619
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Vahe GalstyanNPI 1548426828
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250408002005 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2567986839 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.