Active NPI
Mina Mortezai, D.O.
- Internal Medicine Physician
- West Hills, CA
National Provider Identifier
1770547325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A7240
- Practice address
- 22110 Roscoe Blvd
West Hills, CA 91304-3875 - Phone
- (818) 888-8042
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A7240 | CA | Primary |
Addresses
Primary practice location
22110 Roscoe Blvd
West Hills, CA 91304-3875
Mailing address
PO Box 4315
West Hills, CA 91308-4315
Phone (818) 585-1910
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7240 | CA | MD | Internal Medicine Physician |
| 7240 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abm Medical Clinic, Inc. | Current | Accepting new patients | |
| West Hills Hospital | Past | Accepting new patients |
Locations
21133 Costanso St
Woodland Hills, CA 91364
Phone (818) 222-8042
22554 Ventura Blvd
Ste 201
Woodland Hills, CA 91364
Phone (818) 222-8042
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Woodland Hills, CA
- NPI 1497944557
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1023065729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770547325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4315",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913084315",
"telephone_number": "818-585-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043875",
"telephone_number": "818-888-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTEZAI",
"first_name": "MINA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A7240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.