Active NPI
Tarzana Anesthesia Medical Group, Inc.
- Pain Medicine (Anesthesiology) Physician
- Tarzana, CA
National Provider Identifier
1508897463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- TARZANA ANESTHESIA MEDICAL GROUP, INC.
- Practice address
- 18321 Clark St
Tarzana, CA 91356-3501 - Phone
- (310) 440-3131
- Fax
- (310) 471-3958
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mokhtar Mikhail, M.D.
- Title
- Medical Director
- Phone
- (818) 708-5285
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
18321 Clark St
Tarzana, CA 91356-3501
Mailing address
11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 440-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000556 | CA | Part B Supplier - Clinic/Group Practice | 2668512914 |
Receives reassigned benefits from 26 practitioners Practice locations: Tarzana, CA; Encino, CA; Beverly Hills, CA |
National Provider Directory
National Provider DirectoryLocations
18226 Ventura Blvd
Tarzana, CA 91356
Phone (747) 217-2889
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Pacific Palisades, CA
- NPI 1164478160
Anesthesiology, CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508897463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-440-3131",
"fax_number": "310-471-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 CLARK ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563501",
"telephone_number": "310-440-3131",
"fax_number": "310-471-3958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARZANA ANESTHESIA MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MIKHAIL",
"authorized_official_first_name": "MOKHTAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-708-5285",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
- Elin Tarvirdiyans
- Tarzan Recovery, Inc.
- Tarzan Treatment Centers
- Tarzana Advanced Imaging Inc.
- Tarzana Ambulatory Surgical Institute
- Tarzana Chiropractic, Dr. Houman Safaei, D.C. Inc.
- Tarzana Emergency Medical Associates
- Tarzana Emergency Medical Associates, Inc.
- Tarzana Endocrine & Medical Group
- Tarzana Foot and Ankle Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.