Mansour Nejadrasool, DPM
Individual provider Active NPI Foot Surgery Podiatrist · Van Nuys, CA
NPI 1477565828 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1477565828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- E4452 (CA)
- Practice address
- 14600 Sherman Way Ste 230
Van Nuys, CA 91405 - Phone
- (818) 784-8420
- Fax
- (818) 785-0028
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14600 Sherman Way
Suite 230
Van Nuys, CA 91405-2291
Phone (818) 784-8420
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of nail tissue | 135 |
| Removal or shaving of skin growth | 54 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514001274 | CA | Practitioner - Podiatry | 3274522339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health - Fairfield Hospital LLC | Past | Accepting new patients | |
| Christ Hospital | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4452 | CA | |
| Foot Surgery Podiatrist | 213ES0131X | E4452 | CA | Yes |
Addresses
Primary practice location
14600 Sherman Way Ste 230
Van Nuys, CA 91405
Mailing address
14600 Sherman Way Ste 230
Van Nuys, CA 91405-2291
Phone (818) 784-8420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6445430003 | Other | CA | NORIDIAN SECOND PTAN FOR VAN NUYS CLINIC |
Other providers in Van Nuys, CA
- Negoita Neagos
- Neelima Home Health, Inc.
- Nathalie Negrete-Perez
- Anthony O Negrete
- Marc Lee Nehorayan
- Nelnar Home Health Care, Inc.
- Nelson-Nam a Medical Corporation
- Greg J. Nelson
- Jessica Nelson
- Lyric Nelson
All providers in Van Nuys, CA · Foot Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.