Individual provider Active NPI

Minh Q Mach, M.D.

  • Specialist
  • Toluca Lake, CA
National Provider Identifier
1831298736
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A55349 Issued in CA
Practice address
4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457
Phone
(818) 239-0288
Fax
(818) 514-2374
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A55349 CA Primary

Addresses

Primary practice location

4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457

Mailing address

4418 Vineland Ave Ste 102
North Hollywood, CA 91602-3457
Phone (818) 239-0299

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
I20130903000173 CA Practitioner - Endocrinology 4688603020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
St. Louis College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

421 E Angeleno Ave
Suite 102
Burbank, CA 91501-2286
Phone (818) 239-0299

4318 W Victory Blvd
Burbank, CA 91505-1334
Phone (818) 239-0288

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Endocrine & Diabetes Consultants Current Accepting new patients
Valley Endocrine & Diabetes Consultans, Inc Specialist CurrentSince Apr 1, 2003 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

4318 W Victory Blvd
Burbank, CA 91505
Phone (323) 606-9032

421 E Angeleno Ave
Ste 102
Burbank, CA 91501
Phone (818) 845-6500

201 S Buena Vista St
Ste 225
Burbank, CA 91505
Phone (818) 239-0288

4418 Vineland Ave
Ste 102
Toluca Lake, CA 91602
Phone (818) 842-7145

9091 Edinger Ave
Ste C
Westminster, CA 92683
Phone (469) 446-3833

9091 Edinger Ave
Ste A
Westminster, CA 92683
Phone (714) 531-4616

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1831298736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-239-0299",
            "fax_number": "818-514-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-239-0288",
            "fax_number": "818-514-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACH",
        "first_name": "MINH",
        "middle_name": "Q",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

Verify at the official NPI Registry.