Active NPI
Joshua A Mazalian, PT
- Orthopedic Physical Therapist
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 37937
- Practice address
- 7658 Shoup Ave
Canoga Park, CA 91304-5420 - Phone
- (702) 788-3495
- NPI assigned
- Aug 9, 2011
- Last updated
- Jan 22, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 37937 | CA | Primary |
Addresses
Primary practice location
7658 Shoup Ave
Canoga Park, CA 91304-5420
Mailing address
6320 Commodore Sloat Dr
Los Angeles, CA 90048-5453
Phone (323) 935-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12811 Victory Blvd
Valley Glen, CA 91606-3012
Phone (323) 470-9846
16861 Ventura Blvd
Suite 206
Encino, CA 91436-1708
Phone (323) 680-5616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37937 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jam Sports Inc | Orthopedic | Current | Accepting new patients |
Locations
6320 Commodore Sloat Dr
Los Angeles, CA 90048
Phone (323) 935-3420
12811 Victory Blvd
Valley Glen, CA 91606
Phone (323) 470-9846
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Physical Therapist
- Encino, CA
- NPI 1649737982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1396024378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 COMMODORE SLOAT DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485453",
"telephone_number": "323-935-3420",
"fax_number": "323-935-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7658 SHOUP AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913045420",
"telephone_number": "702-788-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZALIAN",
"first_name": "JOSHUA",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "37937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.