PROHEALTH ADVANCED IMAGING INSTITUTE, L.L.C. (NPI# 1578527339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578527339 |
| Entity Type | Organization |
| Organization Name | PROHEALTH ADVANCED IMAGING INSTITUTE, L.L.C. |
| Practice Address |
7345 Medical Center Dr Suite 130 West Hills CA 91307-1910 |
| Practice Telephone | 8187106011 |
| Practice Fax Number | 8184565039 |
| Mailing Telephone | 8187106011 |
| Mailing Fax Number | 8184565039 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DR. PAYAM KASHFIAN (PRESIDENT) |
| Authorized Official Telephone | 8187106011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IDTF00220 | 05 | |
| CA | BLUE SHIELD OF CALIF | ZZZ02029Z | 01 |
| Street Address |
7345 MEDICAL CENTER DR SUITE 130 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273820 | Charles H Udolph | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2005-08-24 |
| 1598013427 | Judith S. Pabst, Dds, Inc. and Phaedra Deukmedjian, Dds, Inc. | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2012-08-27 |
| 1285925719 | Shervin Aminpour Md PC | Otolaryngology | 7345 Medical Center Dr, 540, West Hills, CA 91307-1910 | 2011-05-02 |
| 1942590542 | Soodeh Nili | Internal Medicine | 7345 Medical Center Dr, Suite 600, West Hills, CA 91307-1910 | 2011-04-15 |
| 1023310133 | Marshall M. Graditor, M.d. Inc | Specialist | 7345 Medical Center Dr, Suite # 320, West Hills, CA 91307-1910 | 2010-11-22 |
| 1427283340 | Meir David Hershcovitch | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2009-05-21 |
| 1144494261 | Jerome Dickman, M.d., Inc | Clinic/Center | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-04-18 |
| 1790960888 | Bob B. Armin | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-01-08 |
| 1790975597 | Shukan C Kanuga | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2007-07-27 |
| 1821214784 | Phaedra Deukmedjian | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1963 | 2007-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
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| 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. |
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|---|---|---|---|---|
| 1538503438 | New Generation Diagnostics | Physiological Laboratory | 6700 Fallbrook Ave Ste 203c, West Hills, CA 91307-3549 | 2013-04-22 |
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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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| City | WEST HILLS |
| Zip Code | 91307 |
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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.