Individual provider Active NPI

Mirela Cernaianu

  • Obstetrics & Gynecology Physician
  • Thousand Oaks, CA
National Provider Identifier
1467465120
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79539 Issued in CA
Practice address
3180 Willow LN
Suite 108
Thousand Oaks, CA 91361-4941
Phone
(805) 815-5215
Fax
(888) 972-9656
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A79539 CA Primary

Addresses

Primary practice location

3180 Willow LN
Suite 108
Thousand Oaks, CA 91361-4941

Mailing address

3180 Willow LN
Suite 108
Thousand Oaks, CA 91361-4941
Phone (805) 815-5215

Other practice location 1

2901 N Ventura Rd Ste 110
Oxnard, CA 93036-9705
Phone (805) 981-6163

Other identifiers 1

IdentifierTypeStateIssuer
00A795390MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000524 CA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8022153253 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

910 Hampshire Rd
Suite a
Westlake Village, CA 91361-2822
Phone (805) 379-9110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jun 1, 2023 Accepting new patients
Hera Health Care CurrentSince Jan 14, 2013 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jun 1, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2024 Accepting new patients
County of Ventura Past Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338

910 Hampshire Rd
Ste A
Westlake Village, CA 91361
Phone (805) 379-9110

Interoperability endpoints

  • Direct secure messaging: mcernaianu673649@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1467465120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN",
            "address_2": "SUITE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614941",
            "telephone_number": "805-815-5215",
            "fax_number": "888-972-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 WILLOW LN",
            "address_2": "SUITE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614941",
            "telephone_number": "805-815-5215",
            "fax_number": "888-972-9656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 N Ventura Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930369705",
            "country_code": "US",
            "telephone_number": "805-981-6163",
            "fax_number": "805-981-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERNAIANU",
        "first_name": "MIRELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A795390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.