SUN DIAGNOSTIC (NPI# 1982717963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982717963 |
| Entity Type | Organization |
| Organization Name | SUN DIAGNOSTIC |
| Practice Address |
425 S Fairfax Ave Suite 308 Los Angeles CA 90036-3148 |
| Practice Telephone | 3239349873 |
| Mailing Telephone | 3239349873 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELEONORA KIRNOS (OWNER) |
| Authorized Official Telephone | 3239349873 |
| 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 | MEDICARE PROVIDER NUMBER | TG070 | 01 |
| Street Address |
425 S FAIRFAX AVE SUITE 308 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873336 | Anna Spivak Sr. | Specialist | 425 S Fairfax Ave, Ste 202, Los Angeles, CA 90036-3148 | 2005-12-27 |
| 1588064786 | Westside Hospice Care, Inc. | Hospice Care, Community Based | 425 S Fairfax Ave, Suite 304, Los Angeles, CA 90036-3541 | 2014-08-26 |
| 1386883023 | Angel City Healthcare, Inc | Home Health | 425 S Fairfax Ave, Ste 225, Los Angeles, CA 90036-3541 | 2009-02-19 |
| 1851579882 | Alpha Ambulance, Inc | Ambulance | 425 S Fairfax Ave, 205, Los Angeles, CA 90036-3541 | 2008-01-31 |
| 1881720951 | G & S Transportation Service, Inc | Non-emergency Medical Transport (VAN) | 425 S Fairfax Ave, Suite 214, Los Angeles, CA 90036-3541 | 2007-02-25 |
| 1144369083 | Anna Gravich | General Practice | 425 S Fairfax Ave, Los Angeles, CA 90036-3148 | 2007-02-06 |
| 1033198882 | Arkady Stern | Family Medicine | 425 S Fairfax Ave, 302, Los Angeles, CA 90036-3541 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| 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 |
|---|---|---|---|---|
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1194232272 | Harmony Diagnostics Inc | Physiological Laboratory | 11755 Wilshire Blvd Ste 1250, Los Angeles, CA 90025-1540 | 2018-01-10 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1700216256 | Greenline Diagnostics | Physiological Laboratory | 971 N La Cienega Blvd, Suite 202, Los Angeles, CA 90069-4790 | 2013-11-20 |
| 1326338823 | Krg Diagnostic Inc | Physiological Laboratory | 2404 Wilshire Blvd, Suite 5f, Los Angeles, CA 90057-3310 | 2011-04-18 |
| 1346401031 | Liber Diagnostics Inc | Physiological Laboratory | 1400 S Hayworth Ave, Suite 200, Los Angeles, CA 90035-4813 | 2008-06-24 |
| 1275794190 | Pulse Medical Diagnostics, Inc. | Physiological Laboratory | 11870 Santa Monica Blvd # 106-581, Los Angeles, CA 90025-2276 | 2008-06-23 |
| 1073642815 | Nsn Associates Inc | Physiological Laboratory | 3200 Wilshire Blvd, Suite 308, Los Angeles, CA 90010-1333 | 2007-03-05 |
| 1770633851 | Healthy Life Diagnostics, Inc. | Physiological Laboratory | 1930 Wilshire Blvd Ste 1209, Los Angeles, CA 90057-3622 | 2007-01-11 |
| 1144391947 | Ipb Medical Diagnostic, Inc. | Physiological Laboratory | 8939 S Sepulveda Bl, Suite 504, Los Angeles, CA 90045-3631 | 2006-11-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on SUN DIAGNOSTIC.
| 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.