Organization Active NPI

Oakhurst Diagnostics, Inc

  • Radiologic Technologist
  • Beverly Hills, CA
National Provider Identifier
1982900809
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
20457 Issued in CA
Legal business name
OAKHURST DIAGNOSTICS, INC
Practice address
9150 Wilshire Blvd
250
Beverly Hills, CA 90212
Phone
(310) 271-9969
Fax
(310) 271-9575
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. David Tannenbaum
Title
Ceo
Phone
(310) 271-9969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X 20457 CA Primary

Addresses

Primary practice location

9150 Wilshire Blvd
250
Beverly Hills, CA 90212

Mailing address

9150 Wilshire Blvd
250
Beverly Hills, CA 90212
Phone (310) 271-9969

National Provider Directory

National Provider Directory

Locations

9150 Wilshire Blvd
Ste 250
Beverly Hills, CA 90212
Phone (310) 271-9968

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1982900809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 WILSHIRE BLVD",
            "address_2": "250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-271-9969",
            "fax_number": "310-271-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 WILSHIRE BLVD",
            "address_2": "250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-271-9969",
            "fax_number": "310-271-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-271-9969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "20457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.