Organization Active NPI

Premier Diagnostics LLC

  • Diagnostic Radiology Physician
  • Woodland Hills, CA
National Provider Identifier
1942566484
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PREMIER DIAGNOSTICS LLC
Practice address
20929 Ventura Blvd
47-350
Woodland Hills, CA 91364-2334
Phone
(818) 505-0152
Fax
(818) 505-0398
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Yaniv Farbenbloomm, DC
Title
President
Phone
(818) 505-0152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

20929 Ventura Blvd
47-350
Woodland Hills, CA 91364-2334

Mailing address

20929 Ventura Blvd
47-350
Woodland Hills, CA 91364-2334
Phone (818) 505-0152

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1942566484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD",
            "address_2": "47-350",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642334",
            "telephone_number": "818-505-0152",
            "fax_number": "818-505-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD",
            "address_2": "47-350",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642334",
            "telephone_number": "818-505-0152",
            "fax_number": "818-505-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "FARBENBLOOMM",
        "authorized_official_first_name": "YANIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-505-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.