Individual provider Active NPI

Maikel Mankarious, M.D./M.B.A.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1629238100
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A120948 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 235781 MA
Diagnostic Radiology Physician 2085R0202X A120948 CA Primary

Addresses

Primary practice location

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045

Mailing address

56 Iffley Rd
Jamaica Plain, MA 02130-2307
Phone (310) 266-3547

Other practice location 1

88 E Newton St
Boston, MA 02118-2308
Phone (617) 638-6610

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
I20120726000725 CA Practitioner - Diagnostic Radiology 5597921023 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

1080 N Indian Canyon Dr
Suite 104
Palm Springs, CA 92262-4870
Phone (760) 322-3036

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

1687 Erringer Rd
Suite 210
Simi Valley, CA 93065-6510
Phone (805) 527-4674

1700 N Rose Ave
Suite 110
Oxnard, CA 93030-7630
Phone (585) 218-8007

17762 Beach Blvd
Suite 110
Huntington Beach, CA 92647-6860
Phone (585) 218-8007

1821 W Olive Ave
Burbank, CA 91506-2435
Phone (818) 841-8880

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

1901 N Rice Ave
Oxnard, CA 93030-7912
Phone (805) 983-4838

1901 Outlet Ctr Dr
Suite 120
Oxnard, CA 93036-0664
Phone (805) 357-0067

2001 Solar Dr
Suite 135
Oxnard, CA 93036-0635
Phone (805) 988-0616

2201 Walnut Ave
Suite 150
Fremont, CA 94538-2355
Phone (510) 713-1234

225 W Hillcrest Dr
Suite 110
Thousand Oaks, CA 91360-7883
Phone (805) 357-0067

23115 Sherman PL
West Hills, CA 91307-2006
Phone (818) 251-9811

2336 Santa Monica Blvd
Suite 206
Santa Monica, CA 90404-2938
Phone (310) 315-1000

23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

2679 Zoe Ave
Huntington Park, CA 90255-4144
Phone (323) 584-3333

2705 Loma Vista Rd
Suite 100
Ventura, CA 93003-1595
Phone (805) 988-0616

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

2900 Loma Vista Rd
Suite 101
Ventura, CA 93003-2909
Phone (805) 988-0616

2950 Sycamore Dr
Simi Valley, CA 93065-1210
Phone (805) 357-0067

300 Lombard St
Thousand Oaks, CA 91360-5808
Phone (805) 495-1220

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235781MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 1, 2017 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 22, 2014 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 28, 2013 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2023 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jul 12, 2014 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 22, 2014 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Jul 28, 2013 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2023 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 43)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2999 Regent St
Ste 225
Berkeley, CA 94705
Phone (510) 704-7760

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1629238100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 IFFLEY RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302307",
            "telephone_number": "310-266-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-315-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 E Newton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKARIOUS",
        "first_name": "MAIKEL",
        "name_prefix": "Dr.",
        "credential": "M.D./M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "235781",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A120948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.