ABC DIAGNOSTICS — NPI 1306751003 (Licensed & Credentialed Radiologic Technologist in ENCINO, CA)

CMS-1500 Box 24J / 33a • NPI

1306751003

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

247100000X

Licensed & Credentialed Radiologic Technologist

Box 32 Service Location & ZIP+4

17337 VENTURA BLVD STE 220, ENCINO, CA, 91316-4039

✓ 9-Digit EDI 837 ZIP+4 (91316-4039)

Practice Phone & Referral Fax

(818) 518-0146

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306751003 (ABC DIAGNOSTICS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306751003` (NPI-2 Organization / Facility)
Provider / Legal Name	ABC DIAGNOSTICS
Plain-English Specialty	Licensed & Credentialed Radiologic Technologist NUCC Code: `247100000X` (Radiologic Technologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	17337 VENTURA BLVD STE 220, ENCINO, CA, 91316-4039
Practice Telephone / Fax	Tel: (818) 518-0146
Administrative Mailing Address	17337 VENTURA BLVD STE 220, ENCINO, CA, 91316-4039
Enumeration & Last Sync	Enumerated: 2026-08-17 \| CMS Record Updated: 2026-08-17
Authorized Official	AURYN CABELLON (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

17337 VENTURA BLVD STE 220, ENCINO, CA, 91316-4039

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Plain-English Taxonomy & CMS Crosswalk (247100000X)

What Does Taxonomy Code 247100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247100000X translates to:
"Licensed & Credentialed Radiologic Technologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiologic Technologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABC DIAGNOSTICS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085R0202X` — Radiology, Diagnostic Radiology Plain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`247100000X` — Radiologic Technologist Plain English: Licensed & Credentialed Radiologic Technologist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABC DIAGNOSTICS (NPI #1306751003)