Individual provider Active NPI

Shayna J Alberle Mangers, MD

  • Ophthalmology Physician
  • Thousand Oaks, CA
National Provider Identifier
1699802496
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A104356 Issued in CA
Practice address
351 Rolling Oaks Dr Ste 102
Thousand Oaks, CA 91361-1279
Phone
(805) 497-3744
Fax
(805) 497-1663
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A104356 CA Primary

Addresses

Primary practice location

351 Rolling Oaks Dr Ste 102
Thousand Oaks, CA 91361-1279

Mailing address

351 Rolling Oaks Dr Ste 102
Thousand Oaks, CA 91361-1279
Phone (805) 497-3744

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
I20081015000183 CA Practitioner - Ophthalmology 0143327494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cse Medical Group Inc.Group PAC ID 4082682034, 5 clinicians

Practice addresses (Care Compare)

351 Rolling Oaks Dr
Suite 102
Thousand Oaks, CA 91361-1279
Phone (805) 497-3744

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
94.93
Improvement activities
40
Cost
77.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cse Medical Group Inc. Ophthalmology CurrentSince Aug 1, 2008 Accepting new patients
Barnes Jewish Hospital Ophthalmology Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

2045 Royal Ave
Ste 125
Simi Valley, CA 93065
Phone (805) 527-6720

351 Rolling Oaks Dr
Ste 102
Thousand Oaks, CA 91361
Phone (805) 497-3744

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1699802496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611279",
            "telephone_number": "805-497-3744",
            "fax_number": "805-497-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 ROLLING OAKS DR STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611279",
            "telephone_number": "805-497-3744",
            "fax_number": "805-497-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGERS",
        "first_name": "SHAYNA",
        "middle_name": "J ALBERLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A104356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.