Organization Active NPI

Communal Health Medical Group PC

  • Internal Medicine Physician
  • Winnetka, CA
National Provider Identifier
1750102745
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMMUNAL HEALTH MEDICAL GROUP PC
Practice address
20201 Sherman Way Ste 109
Winnetka, CA 91306-3269
Phone
(818) 960-4000
Fax
(818) 922-7019
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Farshad Malekmehr, MDNPI 1710904651
Title
Ceo
Phone
(818) 782-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

20201 Sherman Way Ste 109
Winnetka, CA 91306-3269

Mailing address

20201 Sherman Way Ste 109
Winnetka, CA 91306-3269
Phone (818) 782-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318001531 CA Part B Supplier - Clinic/Group Practice 2163944315 Receives reassigned benefits from 2 practitioners
Practice locations: Canoga Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324220Communal Health Medical Group20201 Sherman Way, Canoga Park, CA 91306Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

20201 Sherman Way
Ste 109
Winnetka, CA 91306
Phone (818) 782-3255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1750102745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 SHERMAN WAY STE 109",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063269",
            "telephone_number": "818-782-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 SHERMAN WAY STE 109",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063269",
            "telephone_number": "818-960-4000",
            "fax_number": "818-922-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNAL HEALTH MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "MALEKMEHR",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-782-3255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.