Individual provider Active NPI

Mariam Anwar Molani, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Sherman Oaks, CA
National Provider Identifier
1477073096
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20A19804 Issued in CA
Practice address
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone
(818) 981-7111
NPI assigned
Jun 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 20A19804 CA
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20A19804 CA Primary

Addresses

Primary practice location

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

Mailing address

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702

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
I20220810003625 CA Practitioner - Pathology 3173897493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anwar Molani MD Inc ApmcGroup PAC ID 2668664053, 2 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

16237 Ventura Blvd
Encino, CA 91436-2201
Phone (818) 995-5231

Hospital & facility affiliations

  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
  • Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19804CAMDCytopathology Physician
19804CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Path MD Inc CurrentSince Jun 1, 2024 Accepting new patients
Anwar Molani MD Inc Apmc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2022 Accepting new patients

Locations

931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

Interoperability endpoints

  • Direct secure messaging: mmolani91494@direct.phhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477073096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031702",
            "telephone_number": "818-981-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLANI",
        "first_name": "MARIAM",
        "middle_name": "ANWAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "20A19804",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "20A19804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.