Maged Botros, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A106640 Issued in CA

Practice address

6851 Lennox Ave Ste 105
Van Nuys, CA 91405-4073

Phone

(866) 557-7924

Fax

(833) 328-1414

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GA, NC3 enrollments

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 3

Merit-based Incentive Payment System (MIPS)

Final score

98.64 of 100Reported as group

Quality

94.98

Promoting interoperability

86

Improvement activities

40

Cost

94.14

Merit-based Incentive Payment System (MIPS)

Final score

85.02 of 100Reported as group

Quality

59.99

Promoting interoperability

99

Improvement activities

40

Cost

74.25

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thrive Mind Health Inc.

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1619693256
  Medicare reassignment NPD Authorized official
• Floyd Physicians, LLC

  • Neonatal-Perinatal Medicine Physician
  • Rome, GA
  • NPI 1992814586

  Psychiatry

  Medicare reassignment NPD
• MCPC-11, LLC

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1841635455
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1619102738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 ALDEN DR",
            "address_2": "THALIAN BUILDING",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 LENNOX AVE STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054073",
            "telephone_number": "866-557-7924",
            "fax_number": "833-328-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "MAGED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "84230",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A106640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Borbon
• Emily Felicitas Borchardt
• Faula Anne Pena Bordon
• Matthew Ryan Thomas Borquez, MBA, ME.D
• Daniel Borunda
• Andrew James Bottino
• Boulevard Hospice Inc
• Bounteous Home Health Inc
• Bountiful Home Health Inc
• Rena Bowen

• Psychiatry Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.