Organization Active NPI

Avisina Wellness Imaging Corporation

  • Diagnostic Radiology Physician
  • Encino, CA
National Provider Identifier
1942169800
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AVISINA WELLNESS IMAGING CORPORATION
Practice address
17779 Ventura Blvd # 100
Encino, CA 91316-3717
Phone
(818) 708-6163
Fax
(818) 600-8417
NPI assigned
Jan 16, 2026
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Arezou Kamandi
Title
Manager
Phone
(818) 708-6163

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

17779 Ventura Blvd # 100
Encino, CA 91316-3717

Mailing address

17779 Ventura Blvd # 100
Encino, CA 91316-3717
Phone (818) 708-6163

National Provider Directory

National Provider Directory

Locations

17779 Ventura Blvd
#100
Encino, CA 91316
Phone (818) 708-6163

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1942169800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17779 VENTURA BLVD # 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-708-6163",
            "fax_number": "818-600-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17779 VENTURA BLVD # 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-708-6163",
            "fax_number": "818-600-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISINA  WELLNESS IMAGING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "KAMANDI",
        "authorized_official_first_name": "AREZOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-708-6163"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 3, 2026; 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.