Active NPI
Angela Kazarova, CRT
- Radiologic Technologist
- Glendale, CA
National Provider Identifier
1992904916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RHM71836
- Practice address
- 2410 E Chevy Chase Dr
Glendale, CA 91206-1812 - Phone
- (818) 240-4020
- Fax
- (323) 255-5225
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RHM71836 | CA | Primary |
| Computed Tomography Radiologic Technologist | 2471C3401X | RHM #71836 | CA | |
| Mammography Radiologic Technologist | 2471M2300X | RHM71836 | CA |
Addresses
Primary practice location
2410 E Chevy Chase Dr
Glendale, CA 91206-1812
Mailing address
2410 E Chevy Chase Dr
Glendale, CA 91206-1812
Phone (818) 240-4020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM71836 | Other | CA | LICENSE #RHM71836 |
| RHM# 71836 | Other | CA | MAMMOGRAM TECH., FLUOROS |
| N/A | Other | CA | INTRAVENOUS THERAPY AND P |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHM71836 | CA | MD | Radiologic Technologist |
| RHM #71836 | CA | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1992904916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 E CHEVY CHASE DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912061812",
"telephone_number": "818-240-4020",
"fax_number": "323-255-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 E CHEVY CHASE DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912061812",
"telephone_number": "818-240-4020",
"fax_number": "323-255-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZAROVA",
"first_name": "ANGELA",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "RHM71836",
"primary": true
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "CA",
"license": "RHM #71836",
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "CA",
"license": "RHM71836",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #RHM71836",
"identifier": "RHM71836",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMMOGRAM TECH., FLUOROS",
"identifier": "RHM# 71836",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTRAVENOUS THERAPY AND P",
"identifier": "N/A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.