NPIMap

Individual provider Active NPI

Reyadh J Michail, M.D

  • Family Medicine Physician
  • Panorama City, CA
National Provider Identifier
1508847831
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41791 Issued in CA
Practice address
14860 Roscoe Blvd
Suite#201
Panorama City, CA 91402-4665
Phone
(818) 787-1049
Fax
(818) 787-1129
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41791 CA Primary

Addresses

Primary practice location

14860 Roscoe Blvd
Suite#201
Panorama City, CA 91402-4665

Mailing address

14860 Roscoe Blvd
#201
Panorama City, CA 91402-4665
Phone (818) 787-1049

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
I20101021000545 CA Practitioner - General Practice 2860497930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10605 Balboa Blvd
Suite 260
Granada Hills, CA 91344-6353
Phone (818) 831-8999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ensign Panorama LLC PastSince Feb 9, 2016 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Granada Hills Care CenterGranada Hills, CA, CCN 056168 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2011
Dec 1, 2011
Holiday Manor Care CenterCanoga Park, CA, CCN 555578 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 28, 2009
Oct 28, 2009
Panorama Gardens Nursing and Rehabilitation CenterPanorama City, CA, CCN 056337 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Feb 9, 2016
Feb 9, 2016
Feb 9, 2016
Renew Health Consulting ServicesNorth Hollywood, CA, CCN 555132 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2017
Jun 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 12

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508847831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "#201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-787-1049",
            "fax_number": "818-787-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE#201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-787-1049",
            "fax_number": "818-787-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAIL",
        "first_name": "REYADH",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.