Organization Active NPI

Alfa Diagnostic Network, Inc

  • Radiology Clinic/Center
  • Altadena, CA
National Provider Identifier
1992026272
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ALFA DIAGNOSTIC NETWORK, INC
Practice address
2052 Lake Ave
Suite C
Altadena, CA 91001-2450
Phone
(626) 398-3400
Fax
(626) 398-4300
NPI assigned
Jun 21, 2010
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Sona Balasanyan
Title
Owner
Phone
(626) 398-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2052 Lake Ave
Suite C
Altadena, CA 91001-2450

Mailing address

2052 Lake Ave
Suite C
Altadena, CA 91001-2450
Phone (626) 398-3400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1992026272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 LAKE AVE",
            "address_2": "SUITE C",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012450",
            "telephone_number": "626-398-3400",
            "fax_number": "626-398-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 LAKE AVE",
            "address_2": "SUITE C",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012450",
            "telephone_number": "626-398-3400",
            "fax_number": "626-398-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA DIAGNOSTIC NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "BALASANYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-398-3400"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.