Individual provider Active NPI

Orah Mahtov

  • Psychiatric/Mental Health Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1184133944
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007450 Issued in CA
Practice address
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
Phone
(818) 212-2223
NPI assigned
Sep 25, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95007450 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007450 CA Primary

Addresses

Primary practice location

14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284

Mailing address

6051 Lindley Ave Unit 2
Tarzana, CA 91356-1725
Phone (818) 672-6724

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103000859 CA Practitioner - Nurse Practitioner 6901164540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainpower Wellness Institute Nursing CorporationGroup PAC ID 3072840586, 20 clinicians

Practice addresses (Care Compare)

2230 W Chapman Ave
Orange, CA 92868-2316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95007450CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Nov 6, 2017 Accepting new patients
Amygdala Medical Corporation Psychiatric/Mental Health CurrentSince Sep 11, 2024 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
Brainpower Wellness Institute Nursing Corporation Psychiatric/Mental Health CurrentSince Sep 11, 2024 Accepting new patients
Brainiac Medical Corporation Nurse Practitioner PastSince Nov 1, 2025 Accepting new patients

Locations

160 S Old Springs Rd
Ste 135D
Anaheim, CA 92808
Phone (714) 712-0711

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1101 California Ave
Ste 100
Corona, CA 92881
Phone (714) 584-9700

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711

2230 W Chapman Ave
Ste 214B
Orange, CA 92868
Phone (714) 712-0711

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

18040 Sherman Way
Ste 200
Reseda, CA 91335
Phone (818) 212-2223

2599 E 28th St
Ste 206
Signal Hill, CA 90755
Phone (562) 231-7174

2650 Jones Way
Ste 9
Simi Valley, CA 93065
Phone (805) 584-9293

3655 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (714) 712-0711

14600 Sherman Way
Ste 250
Van Nuys, CA 91405
Phone (818) 212-2223

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1184133944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 LINDLEY AVE UNIT 2",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561725",
            "telephone_number": "818-672-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 250",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052284",
            "telephone_number": "818-212-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTOV",
        "first_name": "ORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95007450",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.