Individual provider Active NPI

Mayank Patel, M.D.

  • Urology Physician
  • Tarzana, CA
National Provider Identifier
1669637013
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A103731 Issued in CA
Practice address
18321 Ventura Blvd Ste 150
Tarzana, CA 91356-4253
Phone
(818) 776-0660
Fax
(818) 776-8620
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A103731 CA Primary

Addresses

Primary practice location

18321 Ventura Blvd Ste 150
Tarzana, CA 91356-4253

Mailing address

PO Box 845996
Los Angeles, CA 90084-5996
Phone (858) 888-7700

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
I20131210002176 CA Practitioner - Urology 8628228160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

18321 Ventura Blvd
Suite 150
Tarzana, CA 91356-4253
Phone (818) 776-0660

Hospital & facility affiliations

  • Attentive Home Health Inc Home health agency, Tarzana, CA, CCN 559519
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103731CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Urology CurrentSince Apr 1, 2021 Accepting new patients
Urology Institute of the South Bay Urology Current Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Calabasas Surgery Center LLC PastSince Apr 10, 2020 Accepting new patients

Locations

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

18321 Ventura Blvd
Ste 150
Tarzana, CA 91356
Phone (818) 776-0660

20911 Earl St
Ste 140
Torrance, CA 90503
Phone (310) 542-0199

2927 Lomita Blvd
Ste B
Torrance, CA 90505
Phone 42421245804575

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Interoperability endpoints

  • Direct secure messaging: mayank.patel.1@3663.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1669637013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845996",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845996",
            "telephone_number": "858-888-7700",
            "fax_number": "858-221-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 VENTURA BLVD STE 150",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564253",
            "telephone_number": "818-776-0660",
            "fax_number": "818-776-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A103731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.