Active NPI
Pad Diagnostics Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Sunland, CA
National Provider Identifier
1982032033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PAD DIAGNOSTICS INC
- Practice address
- 10823 Odell Ave
Sunland, CA 91040-2438 - Phone
- (818) 875-4185
- Fax
- (818) 875-4195
- NPI assigned
- Oct 29, 2013
- 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
- Mr. Arman Petrosian, ARDMS
- Title
- Ceo/Owner
- Phone
- (818) 875-4185
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
10823 Odell Ave
Sunland, CA 91040-2438
Mailing address
10823 Odell Ave
Sunland, CA 91040-2438
Phone (818) 875-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210924002684 | CA | Part B Supplier - Portable X-Ray Supplier | 7911130380 |
1 other NPI on this enrollment Practice locations: Sunland, CA |
Portable X-ray supplier certification: CCN 05X0010072
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PAD DIAGNOSTICS, INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Feb 4, 2022
- Last certification
- Feb 4, 2022
- Ownership / control type
- Corporation
- Facility address
- 10823 Odell Avenue
Sunland, CA 91040
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1982032033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10823 ODELL AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402438",
"telephone_number": "818-875-4185",
"fax_number": "818-875-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10823 ODELL AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402438",
"telephone_number": "818-875-4185",
"fax_number": "818-875-4195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAD DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "PETROSIAN",
"authorized_official_first_name": "ARMAN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "818-875-4185",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ARDMS"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.