SAPPHIRE MEDICAL (NPI# 1023248481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023248481 |
| Entity Type | Organization |
| Organization Name | SAPPHIRE MEDICAL |
| Practice Address |
11650 Riverside Dr Ste 6 North Hollywood CA 91602-1093 |
| Practice Telephone | 3237084499 |
| Mailing Telephone | 3237084499 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | HECTOR LUGO-COLON (OWNER) |
| Authorized Official Telephone | 3237084499 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A107410 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | A107410 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SAPPHIRE MEDICAL GROUP LLC | 1169 44th St, Brooklyn, Ny 11219 |
| New York State Corporations | SAPPHIRE MEDICAL SUPPLIES INC | 6010 New Utrecht Avenue, Brooklyn, Ny 11219 |
| Street Address |
11650 RIVERSIDE DR STE 6 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281371 | Erin T. Childs | Marriage & Family Therapist | 11650 Riverside Dr, Suite 7, North Hollywood, CA 91602-1093 | 2006-07-21 |
| 1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
| 1841643392 | Aline Manouguian | Marriage & Family Therapist | 11650 Riverside Dr, 10, North Hollywood, CA 91602-1093 | 2016-07-20 |
| 1073965497 | Soker Psychotherapy and Licensed Clinical Social Work Services, Inc. | Social Worker | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-07-09 |
| 1447655188 | Mohsen Safaie Pt Inc. | Specialist | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-23 |
| 1962805242 | Premier Pain Management, Inc. | Clinic/Center | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-01 |
| 1336386630 | Professional Pharmacy Services, Inc. | Home Infusion | 11650 Riverside Dr, #6, North Hollywood, CA 91602-1093 | 2009-01-08 |
| 1962659151 | Benjamin Broukhim M.d. A Medical Corp | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2008-08-19 |
| 1548270028 | Studio City Orthopedic & Medical Group | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685094 | Radegy Inc | Radiology | 6450 Bellingham Ave Ste D, North Hollywood, CA 91606-1401 | 2018-10-17 |
| 1396792685 | S.a. Diagnostic, Inc. | Radiology | 5816 Lankershim Blvd, Suite # 4, North Hollywood, CA 91601-1671 | 2006-05-30 |
| 1003874702 | Prohealth Advanced Imaging Medical Group, Inc. | Radiology | 10767 Riverside Dr, North Hollywood, CA 91602-2324 | 2006-05-02 |
| 1861561300 | Ramin Akhavan | Radiology | 10767 Riverside Dr, North Hollywood, CA 91602-2324 | 2006-11-07 |
| 1275560096 | Stephanie Yu-hue Chiu | Radiology | 10767 Riverside Dr, North Hollywood, CA 91602-2324 | 2006-06-27 |
| 1801831466 | Babak Shayestehfar | Radiology | 10767 Riverside Dr, North Hollywood, CA 91602-2324 | 2006-06-18 |
| 1376590471 | Farhad Houriani | Radiology | 10767 Riverside Dr, North Hollywood, CA 91602 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on SAPPHIRE MEDICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.