Mehdi Manzari, M.D.
Individual provider Active NPI Internal Medicine Physician · Thousand Oaks, CA
NPI 1689807463 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1689807463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A109271 (CA)
- Practice address
- 227 W Janss Rd Ste 210
Thousand Oaks, CA 91360-1867 - Phone
- (424) 333-1236
- Fax
- (424) 372-7181
- NPI assigned
- Aug 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inpatient Specialists of California PC
Dignity Health Medical Foundation
Alertive Healthcare Medical Group Apc
Practice addresses (Care Compare)
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000
18460 Roscoe Blvd
FL 3
Northridge, CA 91325-4107
Phone (818) 885-5480
4354 Latham St
Suite 100
Riverside, CA 92501-1777
Phone (951) 466-6628
Hospital & facility affiliations
- Northridge Hospital Medical Center
- St Johns Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101210000187 | CA | Practitioner - Internal Medicine | 8820285273 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109271 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Allure Medical Group a Professional Corporation | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Inpatient Specialists of California, PC | Internal Medicine | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Group of Montebello Inc | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Astrana Care Hospitalists, a Medical Corporation | Past |
Accepting new patients | |
| Alertive Healthcare Medical Group PC | Internal Medicine | Past |
Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
501 S Reino Rd
Ste 200
Newbury Park, CA 91320
18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480
18460 Roscoe Blvd
Fl 3
Northridge, CA 91325
Phone (818) 885-5480
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A109271 | CA | Yes |
Addresses
Primary practice location
227 W Janss Rd Ste 210
Thousand Oaks, CA 91360-1867
Mailing address
4607 Lakeview Canyon Rd
567
Westlake Village, CA 91361-4028
Phone (866) 810-3655
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Thousand Oaks, CA
- Shayna J Alberle Mangers
- Michelle Mangini
- Adrian Warren Mangio
- Many Mansions
- Maria Manzano
- Gayle Ann Marano-Brown
- Marc S. Elson DDS, a Professional Corporation
- Margaret Gustavson MFT
- Peter Ira Margolis
- Andrew R Marinkovich Jr.
All providers in Thousand Oaks, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.