Individual provider Active NPI

Mazen Ghani, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1154374718
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C-173199 Issued in CA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
May 17, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 212864 MA
Diagnostic Radiology Physician 2085R0202X C-173199 CA Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 1

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210923000238 IL Practitioner - Diagnostic Radiology 3971672064 Reassigns benefits to 1 organization
I20210923003138 CA Practitioner - Diagnostic Radiology 3971672064 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians

Practice addresses (Care Compare)

1285 Branch Mill Rd
Arroyo Grande, CA 93420-5211
Phone (818) 639-2901

6729 Monte Rd
San Luis Obispo, CA 93401-8050
Phone (818) 639-2901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212864MAMDCommunity Health Registered Nurse
C-173199CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Feb 3, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Feb 4, 2024 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Oct 4, 2024 Accepting new patients
Crawford Hospital District Current Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 24, 2025 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince May 11, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Oct 4, 2024 Accepting new patients
Cambridge Health Alliance Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Sioux Center Health Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology Past Accepting new patients
Boston Medical Center Corporation Past Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

300 Canal St
King City, CA 93930
Phone (831) 385-6000

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1154374718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802465",
            "country_code": "US",
            "telephone_number": "508-828-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANI",
        "first_name": "MAZEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "212864",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C-173199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.