Organization Active NPI

Reflection Imaging Center Inc

  • Diagnostic Ultrasound Physician
  • Van Nuys, CA
National Provider Identifier
1982295788
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
REFLECTION IMAGING CENTER INC
Practice address
5810 Van Nuys Blvd
Van Nuys, CA 91401-4218
Phone
(310) 689-8028
NPI assigned
Feb 3, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mahsa HatamifarNPI 1548895824
Title
Owner
Phone
(310) 689-8028

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
Diagnostic Ultrasound Physician 2085U0001X NU Primary

Addresses

Primary practice location

5810 Van Nuys Blvd
Van Nuys, CA 91401-4218

Mailing address

PO Box 25796
Los Angeles, CA 90025-0796

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@reflectionimaging.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616002965 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0840607545 Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

11420 Santa Monica Blvd
Unit 25796
Los Angeles, CA 90025

5810 Van Nuys Blvd
Van Nuys, CA 91401
Phone (310) 310-4933

Practitioners & affiliated clinicians

Practitioners 2

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1982295788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25796",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014218",
            "telephone_number": "310-689-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HATAMIFAR",
        "authorized_official_first_name": "MAHSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-689-8028"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@reflectionimaging.net",
            "affiliation": "N",
            "address_1": "11420 Santa Monica Blvd Unit 25796",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900258850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.