Managed Care Rehab., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT20306 Issued in CA

Legal business name

MANAGED CARE REHAB., INC.

Practice address

18531 Roscoe Blvd
Suite 215a
Northridge, CA 91324-5462

Phone

(818) 886-2245

Fax

(818) 886-3826

NPI assigned

Jan 24, 2007

Last updated

Mar 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kayhan Soodjani

Title

Administrator

Phone

(818) 886-2245

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Orang Amintowlieh, MS

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1952507246
  Medicare reassignment Care Compare group NPD
• Hamid M Kashan

  • Physical Therapist
  • Northridge, CA
  • NPI 1659669745
  Medicare reassignment Care Compare group NPD
• Kaveh Shokoohi Soodjani, P.T.

  • Physical Therapist
  • Northridge, CA
  • NPI 1508929043
  Medicare reassignment Care Compare group NPD
• Irit Eckhaus, PT

  • Physical Therapist
  • Valencia, CA
  • NPI 1730118464
  Medicare reassignment NPD
• Azar Noorafrouz, MPT

  • Physical Therapist
  • Van Nuys, CA
  • NPI 1346676715
  Medicare reassignment NPD
• Leelan Jenq, OT

  • Occupational Therapist
  • Northridge, CA
  • NPI 1679883581
  NPD
• Frank J D'Ambrosio, P.T.

  • Physical Therapist
  • Newhall, CA
  • NPI 1962439075
  NPD (past)
• Behnam Hekmatnia, L.AC. (LICENSED ACUP

  • Acupuncturist
  • Panorama City, CA
  • NPI 1518706241
  NPD (past)
• Angela Nossett, M.D.

  • Family Medicine Physician
  • Arcadia, CA
  • NPI 1194754457
  NPD (past)
• Jennifer L Vivanco, RPT

  • Specialist
  • Porter Ranch, CA
  • NPI 1982767596
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1881749323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD",
            "address_2": "SUITE 215A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245462",
            "telephone_number": "818-886-2245",
            "fax_number": "818-886-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD",
            "address_2": "SUITE 215A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245462",
            "telephone_number": "818-886-2245",
            "fax_number": "818-886-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED CARE REHAB., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "SOODJANI",
        "authorized_official_first_name": "KAYHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-886-2245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT20306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0203060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Malkin, M.D.
• Emily Maloney
• Patricia D Maloney
• Erish Malonzo
• Managed Care Physical Therapy Inc
• Errol James Pangan Manarang
• Margarita Mancilla, MEDICAL ASSISTANT
• Rupal Mankassarian
• Ritz Geneve Salteras Manlugon
• Braxton E Mann II

• Specialist in Northridge, CA
• Providers in Northridge, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.