Active NPI
Mania Ghanem, OD
- Optometrist
- San Fernando, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35021
- Practice address
- 906 San Fernando Rd
San Fernando, CA 91340-3311 - Phone
- (818) 361-1513
- NPI assigned
- Aug 30, 2021
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT35021 | CA | Primary |
Addresses
Primary practice location
906 San Fernando Rd
San Fernando, CA 91340-3311
Mailing address
22501 Schoolcraft St
West Hills, CA 91307-2636
Phone (818) 923-8916
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
906 San Fernando Rd
San Fernando, CA 91340-3311
Phone (818) 361-1513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Dr. Daniel Sjolund and Dr. Alice Sun, Optometric Corporation | Optometrist | Current | Accepting new patients |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Locations
906 San Fernando Rd
San Fernando, CA 91340
Phone (818) 361-1513
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
27335 Tourney Rd
Ste 180
Valencia, CA 91355
Phone (661) 259-1662
200 S Wells Rd
Ste 225
Ventura, CA 93004
Phone (805) 659-0560
200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322
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 and National Provider Directory roles.
-
- Optometrist
- Santa Clarita, CA
- NPI 1336685049
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1518183904
-
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1942789359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1285302901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22501 SCHOOLCRAFT ST",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913072636",
"telephone_number": "818-923-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 SAN FERNANDO RD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403311",
"telephone_number": "818-361-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEM",
"first_name": "MANIA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.