BROADWAY IMAGING MEDICAL CENTER NPI 1497708002

NPI Information

  • NPI: 1497708002
  • Provider Name: BROADWAY IMAGING MEDICAL CENTER
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Former Legal Business Name: BROADWAY IMAGING MEDICAL CENTER
  • Address: 140 NORTH GLENDALE AVE
    GLENDALE, CA
    ZIP 91206
  • Phone: (818) 548-0022

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NPI Details

BROADWAY IMAGING MEDICAL CENTER is a diagnostic radiology radiology in Glendale, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BROADWAY IMAGING MEDICAL CENTER NPI is 1497708002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Broadway Imaging Medical Center.

The provider's business location address is:

140 NORTH GLENDALE AVE
GLENDALE, CA
ZIP 91206
Phone: (818) 548-0022
Fax: (818) 548-8385

The provider's authorized official is Hosam M Moustafa .
The authorized official title is President and has the following contact phone number (818) 548-0022.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Screening mammography (HCPCS:77067)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of ribs on both sides of body, 3 views (HCPCS:71110)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Ct scan of soft tissue of neck without contrast (HCPCS:70490)
  • Ct scan of chest before and after contrast (HCPCS:71270)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • X-ray of upper spine, 6 or more views (HCPCS:72052)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RM1200XInternal MedicineMagnetic Resonance Imaging (MRI)A71010CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyA71010CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A710100MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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