MEDULTRASOUND (NPI# 1215316740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215316740 |
| Entity Type | Organization |
| Organization Name | MEDULTRASOUND |
| Practice Address |
5310 Zelzah Ave #105 Encino CA 91316-2212 |
| Practice Telephone | 3233503543 |
| Mailing Telephone | 3233503543 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. MARK PRAVIN (OWNER) |
| Authorized Official Telephone | 3233503543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5310 ZELZAH AVE #105 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
| 1689132532 | Kevork Krajian | Radiologic Technologist | 2645 Risa Dr, Glendale, CA 91208-2355 | 2019-03-11 |
| 1699264309 | Shih-kang Cheng | Radiologic Technologist | 6359 San Rufo Cir, Buena Park, CA 90620-3639 | 2018-05-08 |
| 1649777814 | Jaimini Samir Shah | Radiologic Technologist | 780 Berryessa St, Livermore, CA 94551-8891 | 2018-04-12 |
| 1205377686 | Iheart Imaging | Radiologic Technologist | 722 Gleneagle Ave, Hayward, CA 94544-7208 | 2017-03-17 |
| 1275079949 | Kristen Mitchell | Radiologic Technologist | 5940 E Pontiac Way, Fresno, CA 93727-7941 | 2017-01-18 |
| 1700320215 | Joy K Clay | Radiologic Technologist | 760 Saratoga Ave Apt Z105, San Jose, CA 95129-2435 | 2016-12-19 |
| 1780134379 | Katerina Boghosian | Radiologic Technologist | 11043 Scoville Ave, Sunland, CA 91040-2013 | 2016-10-07 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1316319726 | Happy Feet Imaging, Inc. | Radiologic Technologist | 13585 Whittier Blvd, Suite 104, Whittier, CA 90605-4442 | 2015-10-24 |
| Find all providers with the same taxonomy | ||||
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| 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.