SOUTH VALLEY IMAGING (NPI# 1154357531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154357531 |
| Entity Type | Organization |
| Organization Name | SOUTH VALLEY IMAGING |
| Other Organization Name | SOUTH VALLEY IMAGING CENTER |
| Practice Address |
18344 Clark St Suite 101 Tarzana CA 91356-3505 |
| Mailing Address |
Po Box 16699 Irvine CA 92623-6699 |
| Practice Telephone | 8188819811 |
| Mailing Telephone | 8188819811 |
| Mailing Fax Number | 8188811638 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Authorized Official Telephone | 4698932153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
NA | Ambulatory Health Care Facilities | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ90381Z | 01 |
| Other Name | Type Code |
|---|---|
| South Valley Imaging Center | Doing Business As Name - Organization |
| Street Address |
18344 CLARK ST SUITE 101 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508813619 | South Valley Radiology Medical Group Inc | Nuclear Medicine | 18344 Clark St, Suite 101, Tarzana, CA 91356-3505 | 2006-05-27 |
| 1093239014 | Liya Yin | Physical Therapist | 18344 Clark St, Tarzana, CA 91356-3505 | 2017-08-01 |
| 1780089169 | Keren Michelle Pinto | Physical Therapist | 18344 Clark St, #208, Tarzana, CA 91356-3505 | 2014-10-28 |
| 1760738736 | Gil Bender, Md Inc. | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2012-07-27 |
| 1649439969 | Active Body Supplies | Prosthetic/Orthotic Supplier | 18344 Clark St, Suite 205, Tarzana, CA 91356-3505 | 2008-06-02 |
| 1710046784 | Shiu-bong Lawrence Ho | Physical Therapist | 18344 Clark St, Suite 208, Tarzana, CA 91356-3580 | 2006-12-06 |
| 1194834879 | Brian Keith Fenmore | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2006-08-29 |
| 1174530687 | Philip S. Rosen | Chiropractor | 18344 Clark St, Tarzana, CA 91356-3505 | 2006-08-01 |
| 1598771719 | Margaret E. Perez | Chiropractor | 18344 Clark St, Suite 205, Tarzana, CA 91356-3505 | 2006-07-31 |
| 1316967326 | James Robert Shields | Obstetrics & Gynecology | 18344 Clark St, Suite 202, Tarzana, CA 91356-3505 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1396964615 | Charles E Wexler | Radiology | 19225 Rosita St, Tarzana, CA 91356-4713 | 2007-04-25 |
| 1902939663 | Natalie Beketova | Radiology | 5906 Etiwanda Ave Unit 18, Tarzana, CA 91356-1649 | 2007-03-13 |
| 1275589079 | Eli J Bendavid | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-05-25 |
| 1558753848 | Quantum Medical Radiology of California, PC | Radiology | 3808 Winford Dr, Tarzana, CA 91356-5824 | 2015-02-24 |
| 1730307679 | Universal Rai Diagnostic, Inc. | Radiology | 5906 Etiwanda Ave Unit 18, Tarzana, CA 91356-1649 | 2007-04-24 |
| 1225152267 | Cedars Sinai Imaging Medical Group Apc | Radiology | 18321 Clark St, Tarzana, CA 91356-3501 | 2007-03-16 |
| 1134169139 | Jack L Chen | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1235179219 | David J Rubenstein | Radiology | 18321 Clark St, Tarzana, CA 91356-3501 | 2006-06-07 |
| 1548200637 | Richard M Gritz | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-07 |
| 1437198058 | Lawrence W. Chespak | Radiology | 18344 Clark Street, Suite 101, Tarzana, CA 91356 | 2006-06-06 |
| Find all providers in TARZANA | ||||
Please comment or provide details below to improve the information on SOUTH VALLEY IMAGING.
| 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.