Individual provider Active NPI

Mania Ghanem, OD

  • Optometrist
  • San Fernando, CA
National Provider Identifier
1285302901
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35021 Issued in CA
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

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014001754 CA Practitioner - Optometry 3375941784 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc Current Accepting new patients
Dr. Daniel Sjolund and Dr. Alice Sun, Optometric Corporation Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 18, 2021 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 18, 2021 Accepting new patients
Clinicas del Camino Real Inc PastSince Oct 10, 2021 Accepting new patients
Clinicas del Camino Real Inc PastSince Oct 10, 2021 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.

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

Verify at the official NPI Registry.