Max Mahmoud Ghannadi, M.D.,

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A102618 Issued in CA

Practice address

14103 Victory Blvd
Suite 7
Van Nuys, CA 91304-3863

Phone

(818) 994-0000

Fax

(818) 988-2949

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aino Home Health, Inc Home health agency, Northridge, CA, CCN 559010
• Matrix Home Health Home health agency, Encino, CA, CCN 059266
• Valley Home Health, Inc Home health agency, N Hollywood, CA, CCN 058158
• All State Patient Care Home health agency, Tarzana, CA, CCN 757322
• Ultimate Care Home Health Services, Inc Home health agency, Tarzana, CA, CCN 757616

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ghannadi.m@caspian.officeally.direct

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

• Caspian Medical Clinic Corp

  • Pediatric Adolescent Medicine Physician
  • Van Nuys, CA
  • NPI 1295967297
  NPD (past)

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

• Aino Home Health, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1215392733
  Care Compare affiliation
• All State Patient Care

  • Home Health Agency
  • Reseda, CA
  • NPI 1992317234
  Care Compare affiliation
• Matrix Health Promotion

  • Home Health Agency
  • Encino, CA
  • NPI 1831328400
  Care Compare affiliation
• Ultimate Care Home Health Services, Inc

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1114679578
  Care Compare affiliation
• Valley Home Health, Inc.

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1437135977
  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1114191798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD # 327",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-887-5515",
            "fax_number": "818-225-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 VICTORY BLVD",
            "address_2": "SUITE 7",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "913043863",
            "telephone_number": "818-994-0000",
            "fax_number": "818-988-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANNADI",
        "first_name": "MAX",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A102618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Get Well Medical Center
• Mark H Getelman, M.D.
• Ovsana Gevoglanyan
• Gevorg George Karayan DDS, Inc.
• Luiza Kristina Gevshanyan, NP
• Ani Clara Gharabegian, B.A.
• Armen Monte Gharabetian
• Bahram Gharachamani
• Helen Gharib
• Ghazar M. Ghazaryan D.D.S.,Inc

• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.