Active NPI
Roxanne Zubin Mistry, MD
- Pediatrics Physician
- Tarzana, CA
National Provider Identifier
1215990692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A93759
- Practice address
- 18321 Clark St
Tarzana, CA 91356-3501 - Phone
- (702) 697-0082
- Fax
- (702) 369-5827
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A93759 | CA | Primary |
Addresses
Primary practice location
18321 Clark St
Tarzana, CA 91356-3501
Mailing address
3006 S Maryland Pkwy
505
Las Vegas, NV 89109-2218
Phone (702) 697-0082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93759 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Past | Accepting new patients | |
| Pediatrix Medical Group of California, a Professional Corporation | Pediatrics | Past | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- roxanne.mistry.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1316041833
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1215990692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY",
"address_2": "505",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092218",
"telephone_number": "702-697-0082",
"fax_number": "702-369-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 CLARK ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563501",
"telephone_number": "702-697-0082",
"fax_number": "702-369-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "ROXANNE",
"middle_name": "ZUBIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A93759",
"primary": true
}
],
"identifiers": [],
"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 Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.