NPIMap

Individual provider Active NPI

Vibhay Prasad, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
National Provider Identifier
1447284948
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G75764 Issued in CA
Practice address
1220 La Venta Dr
Suite 104
Westlake Village, CA 91361-3703
Phone
(805) 496-4020
Fax
(805) 496-4030
NPI assigned
Jul 10, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G75764 CA Primary

Addresses

Primary practice location

1220 La Venta Dr
Suite 104
Westlake Village, CA 91361-3703

Mailing address

PO Box 90125
Long Beach, CA 90809-0125
Phone (562) 598-8558

Other identifiers 1

IdentifierTypeStateIssuer
00G757640MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000977 CA Practitioner - Physical Medicine and Rehabilitation 0244419786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Via Merida
Westlake Village, CA 91362-3816
Phone (818) 665-9643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75764CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vibhay Prasad, M.D., Inc Physical Medicine & Rehabilitation CurrentSince Feb 27, 1997 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients

Locations

1220 La Venta Dr
Ste 104
Westlake Village, CA 91361
Phone (562) 598-8558

150 Via Merida
Westlake Village, CA 91362
Phone (310) 463-7104

4607 Lakeview Canyon Rd
Westlake Vlg, CA 91361
Phone (805) 491-1581

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1447284948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90125",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908090125",
            "telephone_number": "562-598-8558",
            "fax_number": "562-795-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-496-4020",
            "fax_number": "805-496-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "VIBHAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G75764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.