SAN FERNANDO VALLEY REGIONAL PET CENTER LLC (NPI# 1285699728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285699728 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLEY REGIONAL PET CENTER LLC |
| Other Organization Name | INSIGHT IMAGING-SAN FERNANDO VALLEY PET/CT |
| Practice Address |
6855 Noble Ave Van Nuys CA 91405-3729 |
| Mailing Address |
File 57174 Los Angeles CA 90074-0001 |
| Practice Telephone | 8189946178 |
| Practice Fax Number | 8189946739 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR) |
| Authorized Official Telephone | 9492826000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| INSIGHT IMAGING-San Fernando Valley PET/CT | Doing Business As Name - Organization |
| Street Address |
6855 NOBLE AVE |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639144496 | Insight Health Corp | Physiological Laboratory | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-02-22 |
| 1972686954 | Gregory R. Applegate, M.d. Inc. | Radiology | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-10-23 |
| 1013024488 | Laura J Applegate | Radiology | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-08-23 |
| 1386751741 | Gregory R Applegate | Radiology | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-08-23 |
| 1720195035 | Robert K Lee | Radiology | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-08-23 |
| 1043327364 | Hsingyee Lee | Radiology | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883806 | G & M Diagnostic Center, Inc | Physiological Laboratory | 13735 Victory Blvd, Van Nuys, CA 91401-2300 | 2006-06-01 |
| 1013960681 | K&t Diagnostic, Inc. | Physiological Laboratory | 7120 Hayvenhurst Ave, Suite 407, Van Nuys, CA 91406-3813 | 2006-05-18 |
| 1730139411 | Adr Diagnostic Services | Physiological Laboratory | 14553 Delano St, Suite # 206, Van Nuys, CA 91411-2858 | 2006-05-11 |
| 1639144496 | Insight Health Corp | Physiological Laboratory | 6855 Noble Ave, Van Nuys, CA 91405-3729 | 2006-02-22 |
| 1548690951 | Jaid Gorban | Physiological Laboratory | 6931 Van Nuys Blvd, Suite 317, Van Nuys, CA 91405-3937 | 2013-11-21 |
| 1427299502 | Best Solution Imaging Inc | Physiological Laboratory | 6360 Van Nuys Blvd, 111, Van Nuys, CA 91401-2638 | 2009-03-18 |
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| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
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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.