Organization Active NPI

Molani Medical Group a Professional Medical Corp.

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1336471135
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C53794 Issued in CA
Legal business name
MOLANI MEDICAL GROUP A PROFESSIONAL MEDICAL CORP.
Practice address
4955 Van Nuys Blvd
#415
Sherman Oaks, CA 91403-1801
Phone
(818) 528-1080
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Muhammad Anwar Molani, M.D.
Title
Director
Phone
(818) 528-1080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C53794 CA Primary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X C53899 CA

Addresses

Primary practice location

4955 Van Nuys Blvd
#415
Sherman Oaks, CA 91403-1801

Mailing address

20801 Sardinia Way
Porter Ranch, CA 91326-4432
Phone (818) 998-1578

Other identifiers 1

IdentifierTypeStateIssuer
1336471135MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506001009 CA Part B Supplier - Clinic/Group Practice 2668500984 Receives reassigned benefits from 2 practitioners
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

4955 Van Nuys Blvd
Ste 415
Sherman Oaks, CA 91403
Phone (818) 501-5686

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9056/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1336471135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 SARDINIA WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264432",
            "telephone_number": "818-998-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "#415",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-528-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLANI MEDICAL GROUP A PROFESSIONAL MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MOLANI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-528-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C53794",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C53899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336471135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.

Verify at the official NPI Registry.