NPIMap

Individual provider Active NPI

Daniel S Manavi, MD

  • Cardiovascular Disease Physician
  • Tarzana, CA
National Provider Identifier
1467477885
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69875 Issued in CA
Practice address
18345 Ventura Blvd Ste 420
Tarzana, CA 91356-4243
Phone
(818) 990-1445
Fax
(818) 990-1444
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G69875 CA Primary

Addresses

Primary practice location

18345 Ventura Blvd Ste 420
Tarzana, CA 91356-4243

Mailing address

PO Box 260602
Encino, CA 91426-0602
Phone (818) 990-1445

Other identifiers 2

IdentifierTypeStateIssuer
00G69875MedicaidCA
00G698750OtherCABLUE SHIELD

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
I20060106000298 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062442197 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18345 Ventura Blvd
Suite 420
Tarzana, CA 91356-4243
Phone (818) 990-1445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69875CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Heart Center, Inc Cardiovascular Disease CurrentSince Jan 1, 2006 Accepting new patients
Modern Nuclear, Inc. Past Accepting new patients
Freeman Emergency Physicians Medical Group Past Accepting new patients

Locations

16661 Ventura Blvd
Ste 820
Encino, CA 91436
Phone (818) 394-4088

18855 Victory Blvd
Reseda, CA 91335
Phone (818) 774-3000

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

18345 Ventura Blvd
Ste 420
Tarzana, CA 91356
Phone (818) 990-1445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daniel.manavi@141245433053188.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467477885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260602",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260602",
            "telephone_number": "818-990-1445",
            "fax_number": "818-990-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 420",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564243",
            "telephone_number": "818-990-1445",
            "fax_number": "818-990-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAVI",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G69875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G69875",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G698750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.