Individual provider Active NPI

Neha Mirchandani, MD

  • Vascular Neurology Physician
  • Mission Hills, CA
National Provider Identifier
1801156880
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
A142081 Issued in CA
Practice address
15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone
(818) 361-0917
Fax
(818) 361-1606
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X A142081 CA Primary

Addresses

Primary practice location

15031 Rinaldi St
Mission Hills, CA 91345-1207

Mailing address

101 Nicolls Road
Department of Neurology
Stony Brook, NY 11794-7097
Phone (631) 444-7878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmirchandani676873@oc.providencedirect.org

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
I20161111001806 CA Practitioner - Other (Physician)Practitioner - Neurology 7911286091 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90024

Burbank, CA 91505

10590 Wilshire Blvd
Apt 1003
Los Angeles, CA 90024-7311

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 496-4777

1880 Maginn Dr
Glendale, CA 91202-1124

501 S Buena Vista St
Burbank, CA 91505-4809

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142081CAMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Mar 3, 2020 Accepting new patients
Providence Health & Services Mt CurrentSince Mar 3, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 3, 2020 Accepting new patients
Providence Medical Institute CurrentSince Jul 22, 2018 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 3, 2020 Accepting new patients
Providence Medical Institute CurrentSince Jul 22, 2018 Accepting new patients
Providence Health & Services Washington CurrentSince Mar 19, 2020 Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 19, 2020 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 3, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Mar 28, 2020 Accepting new patients
Swedish Health Services CurrentSince Jun 7, 2023 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients
Yuriy Verpukhovskiy MD Inc PastSince Jul 29, 2016 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients

Locations

501 S Buena Vista St
#1N
Burbank, CA 91505
Phone (818) 238-0001

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

11550 Indian Hls
Ste 261
Mission Hills, CA 91345
Phone (818) 361-0917

11550 Indian Hills Rd
Ste 381
Mission Hills, CA 91345
Phone (818) 361-5069

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nmirchandani676873@oc.providencedirect.org
  • Direct secure messaging: nmirchandani676823@ak.providencedirect.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1801156880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS ROAD",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947097",
            "telephone_number": "631-444-7878",
            "fax_number": "631-632-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-361-0917",
            "fax_number": "818-361-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCHANDANI",
        "first_name": "NEHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A142081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmirchandani676873@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11550 Indian Hills Rd Ste 261",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.