Mariappan Ganesa Pandian, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A35476 Issued in CA

Practice address

16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005

Phone

(818) 782-5041

Fax

(818) 205-9091

NPI assigned

Aug 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Consultants Medical GroupGroup PAC ID 5991786105, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mganesapandian@ccmg.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75951
• Direct secure messaging: mganesapandian@carcmg.allscriptsdirect.net

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.

• Cardiovascular Consultants Medical Group

  • Cardiovascular Disease Physician
  • Mission Hills, CA
  • NPI 1730370156
  Medicare reassignment Care Compare group NPD
• Cardiovascular Consultants Medical Group

  • Specialist
  • Encino, CA
  • NPI 1427035617

  Cardiovascular Disease

  NPD
• Cardiovascular Consultants Medical Group

  • Nuclear Cardiology Physician
  • Encino, CA
  • NPI 1962108381
  NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1699768275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIAN",
        "first_name": "MARIAPPAN",
        "middle_name": "GANESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mganesapandian@ccmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "16542 Ventura Blvd",
            "address_2": "Suite 402",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914362005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grant Michael Palmer, ACSW
• Marie L Palmer
• Francisco Palomino
• Jazmin B Palomo
• Kevin Rene Palucho
• Nikhil R Pandya, D.O.
• Judy Pang, DPT
• Patricia Pangan
• Vana Panossian
• Hayk Papazyan

• Cardiovascular Disease Physician in Encino, CA
• Providers in Encino, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.