Active NPI
South Valley Heart Center, Inc
- Cardiovascular Disease Physician
- Tarzana, CA
National Provider Identifier
1215960828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTH VALLEY HEART CENTER, INC
- Practice address
- 18345 Ventura Blvd Ste 420
Tarzana, CA 91356-4243 - Phone
- (818) 990-1445
- Fax
- (818) 990-1444
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Shahab Manavi, MD
- Title
- President
- Phone
- (818) 990-1445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
18345 Ventura Blvd Ste 420
Tarzana, CA 91356-4243
Mailing address
PO Box 260602
Encino, CA 91426-0602
Phone (818) 990-1445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G698750 | Medicaid | CA | |
| 00G69875 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Tarzana, CA
- NPI 1467477885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1215960828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260602",
"city": "ENCINO",
"state": "CA",
"postal_code": "914260602",
"telephone_number": "818-990-1445",
"fax_number": "818-990-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18345 VENTURA BLVD STE 420",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564243",
"telephone_number": "818-990-1445",
"fax_number": "818-990-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH VALLEY HEART CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "MANAVI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "SHAHAB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-990-1445",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G698750",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G69875",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.