SUPREME DIAGNOSTICS INC. (NPI# 1700302684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700302684 |
Entity Type | Organization |
Organization Name | SUPREME DIAGNOSTICS INC. |
Practice Address |
26213 Veva Way Calabasas CA 91302 |
Practice Telephone | 3102792761 |
Practice Fax Number | 8184564618 |
Mailing Telephone | 3102792761 |
Mailing Fax Number | 8184564618 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2017-08-22 |
Authorized Official Name | MRS. NATALYA BEKETOVA (CEO) |
Authorized Official Telephone | 3102792761 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
Street Address |
26213 VEVA WAY |
City | CALABASAS |
State | CA |
Zip Code | 91302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
1447681622 | Eleonora Vince | Physical Therapist | 4505 Las Virgenes Canyon Rd., Calabasas, CA 91302 | 2013-12-12 |
Find all providers in zip 91302 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
NPI | Name | Taxonomy | Address | Enumeration |
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1316589765 | Somos Diagnostics, Inc. | Radiology | 1707 Eye St Ste 207, Bakersfield, CA 93301-5208 | 2019-10-16 |
1386295335 | Frunze Avoyan / 24 7 Care Diagnostic | Radiology | 401 N Brand Blvd Ste 336, Glendale, CA 91203-4427 | 2019-09-20 |
1548816531 | Bg Dx Inc | Radiology | 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 | 2019-08-14 |
1649825803 | Mia C Verbonitz | Radiology | 29450 Wooden Boat Dr, Menifee, CA 92585-9067 | 2019-08-05 |
1437702388 | Epic Mobil Ultrasound Imaging Inc | Radiology | 15417 Hart St, Van Nuys, CA 91406-5240 | 2019-07-19 |
1437618147 | Adventist Health Physicians Network | Radiology | 5125 Skyway Ste E, Paradise, CA 95969-5624 | 2019-03-13 |
1851870927 | Bahjat Helmi Alnajjar | Radiology | 5840 Santa Teresa Blvd, San Jose, CA 95123-4131 | 2018-08-09 |
1821589151 | Sirius Imaging Inc | Radiology | 14637 1/2 Titus St # B, Panorama City, CA 91402-4942 | 2018-05-22 |
1083102503 | Darnell M Nesbitt | Radiology | 1720 Florida St, Vallejo, CA 94590-5317 | 2018-04-30 |
1942798699 | Puja R Parikh | Radiology | 9043 Woodman Ave, Arleta, CA 91331-6404 | 2018-04-27 |
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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.