ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC (NPI# 1558960161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558960161 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC |
| Practice Address |
38209 47th St E Ste D Palmdale CA 93552-3113 |
| Mailing Address |
Po Box 190 Simi Valley CA 93062-0190 |
| Practice Telephone | 6617266050 |
| Practice Fax Number | 6619514464 |
| Mailing Telephone | 8555044544 |
| Mailing Fax Number | 8055772018 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. EDWARD MIRZABEGIAN (MANAGER) |
| Authorized Official Telephone | 6619495533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376143339 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 43839 15th St W, Lancaster, CA 93534-4756 | 2020-10-29 |
| 1871193763 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-29 |
| Street Address |
38209 47TH ST E STE D |
| City | PALMDALE |
| State | CA |
| Zip Code | 93552-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164944732 | Juana Duran Ramos | Registered Nurse | 38350 40th St E., #100, Palmdale, CA 93552 | 2017-07-14 |
| 1801318282 | Fatima Cecile Smith | Registered Nurse | 38350 40th Street East, Palmdale, CA 93552 | 2017-07-07 |
| 1326423575 | Trieu & Kang Professional Dental Corp | Dentist | 38024 47th Street, Suite H, Palmdale, CA 93552 | 2015-07-29 |
| 1043623358 | James Juan Chang | Pharmacist | 37850 47th St E, Palmdale, CA 93552 | 2014-06-04 |
| 1164718128 | Ana Victoria Gomez | Driver | 38021 Lido Dr., Palmdale, CA 93552 | 2011-06-28 |
| 1700115342 | Song Kyun Kim | Dentist | 4635 E Avenue S, Ste C102-103, Palmdale, CA 93552 | 2009-12-10 |
| 1760512180 | Kelly A Graham Flores | Marriage & Family Therapist | 36003 40th St E, Pamdale, CA 93552 | 2007-03-06 |
| 1093246100 | Sona Galstian | Dentist | 38209 47th St E Ste E, Palmdale, CA 93552 | 2017-03-21 |
| 1528580248 | Ewuraba Abban | Registered Nurse | 38350 40th St E Ste 110, Palmdale, CA 93552-3075 | 2017-07-13 |
| 1922452382 | Emel Kasgarli | Clinic/Center | 38350 40th St E Ste 100, Palmdale, CA 93552-3075 | 2016-04-21 |
| Find all providers in zip 93552 | ||||
| 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 |
|---|---|---|---|---|
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1063777951 | Dennis Beglaryan | Radiology | 38600 Medical Center Dr, Palmdale, CA 93551 | 2012-07-07 |
| 1689976607 | Harmandeep K. Gill Medical Corporation | Radiology | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2010-11-23 |
| 1821310269 | Regional Diagnostic Imaging | Radiology | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2010-02-26 |
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|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 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 |
| 1164053286 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 108, Redlands, CA 92373-4230 | 2020-01-28 |
| 1225669351 | Health Diagnostics of California A Professional Corporation | Radiology | 225 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3244 | 2020-01-28 |
| 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.