NPIMap

Individual provider Active NPI

Matthew G Mischel, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1013996172
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G57538 Issued in CA
Practice address
15211 Vanowen St
Suite 315
Van Nuys, CA 91405-3606
Phone
(818) 787-2410
Fax
(818) 756-0723
NPI assigned
Jan 16, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G57538 CA Primary
Nephrology Physician 207RN0300X G57538 CA

Addresses

Primary practice location

15211 Vanowen St
Suite 315
Van Nuys, CA 91405-3606

Mailing address

5805 Sepulveda Blvd
Suite 610
Van Nuys, CA 91411-2546
Phone (818) 908-8048

Other identifiers 1

IdentifierTypeStateIssuer
00G575380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000266 CA Practitioner - NephrologyPractitioner - Internal Medicine 3678662962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

14812 Oxnard St
Van Nuys, CA 91411-3143
Phone (818) 781-7888

17815 Ventura Blvd
Suite 100
Encino, CA 91316-3600
Phone (818) 757-4520

18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800

19836 Ventura Blvd
Suite C
Woodland Hills, CA 91364-2678
Phone (818) 713-9040

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 787-2410

5525 Etiwanda Ave
Suite 320
Tarzana, CA 91356-6130
Phone (818) 774-3839

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Malamed, M.D., a Medical Corporation Internal Medicine Current Accepting new patients
Kamyar Kamjoo MD a Medical Corporation Nephrology Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 15, 2014 Accepting new patients
Yaroslav a. Gofnung, M.D., Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

5525 Etiwanda Ave
Ste 320
Tarzana, CA 91356
Phone (818) 774-3838

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

15211 Vanowen St
Ste 300
Van Nuys, CA 91405
Phone (818) 782-4104

15211 Vanowen St
Ste 315
Van Nuys, CA 91405
Phone (818) 787-2410

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mmischel209465@direct.cshs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1013996172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD",
            "address_2": "SUITE 610",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112546",
            "telephone_number": "818-908-8048",
            "fax_number": "818-908-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE 315",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-787-2410",
            "fax_number": "818-756-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHEL",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57538",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G57538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G575380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.