Individual provider Active NPI

Mahan Monjezi

  • Speech-Language Pathologist
  • West Hills, CA
National Provider Identifier
1467836775
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19656 Issued in CA
Practice address
8416 Sedan Ave
West Hills, CA 91304-3221
Phone
(818) 644-3836
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19656 CA Primary

Addresses

Primary practice location

8416 Sedan Ave
West Hills, CA 91304-3221

Mailing address

8416 Sedan Ave
West Hills, CA 91304-3221
Phone (818) 644-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425000607 CA Practitioner - Qualified Speech Language Pathologist 1951600063 Reassigns benefits to 2 organizations
Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5743 Corsa Ave
Suite 104
Westlake Village, CA 91362-6439
Phone (818) 648-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19656CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Progressive Therapy Inc Speech-Language Pathologist CurrentSince Jul 30, 2024 Accepting new patients
Feld Care Therapy Inc Speech-Language Pathologist CurrentSince Jul 14, 2020 Accepting new patients
Hummingbird Spot Inc PastSince Jul 2, 2023 Accepting new patients
Feld Care Therapy Inc Speech-Language Pathologist Past Accepting new patients

Locations

29219 Canwood St
Unit 107
Agoura Hills, CA 91301
Phone (818) 914-7555

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1467836775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 SEDAN AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043221",
            "telephone_number": "818-644-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 SEDAN AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043221",
            "telephone_number": "818-644-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONJEZI",
        "first_name": "MAHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.

Verify at the official NPI Registry.