Individual provider Active NPI

Mona Denha

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1376963074
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704267818 Issued in MI
Practice address
520 N Central Ave Unit 750
Glendale, CA 91203-3324
Phone
(818) 557-0135
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704267818 MI Primary
Nurse Practitioner 363L00000X 95011073 CA
Nurse Practitioner 363L00000X 209011486041419613 IL

Addresses

Primary practice location

520 N Central Ave Unit 750
Glendale, CA 91203-3324

Mailing address

5901 W Century Blvd
Los Angeles, CA 90045-5411
Phone (310) 491-7060

Other practice location 1

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 325-1000

Other practice location 2

5901 W Century Blvd
Los Angeles, CA 90045-5411
Phone (310) 491-7060

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224000747 CA Practitioner - Nurse Practitioner 9133446933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002

23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700

475 Foothill Blvd
Suite K
La Canada, CA 91011-3555
Phone (818) 528-6377

600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011073CAMDNurse Practitioner
209011486041419613ILMDNurse Practitioner
4704267818MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group Inc CurrentSince Dec 19, 2023 Accepting new patients
Exer Medical Corporation CurrentSince Nov 1, 2023 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Current Accepting new patients

Locations

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

23341 Mulholland Dr
Woodland Hills, CA 91364
Phone (818) 637-0048

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1376963074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455411",
            "telephone_number": "310-491-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CENTRAL AVE UNIT 750",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033324",
            "telephone_number": "818-557-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6777 W Maple Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223013",
            "country_code": "US",
            "telephone_number": "248-325-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 W Century Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900455411",
            "country_code": "US",
            "telephone_number": "310-491-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENHA",
        "first_name": "MONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704267818",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011073",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011486041419613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.