NPIMap

Individual provider Active NPI

Menachem Wakslak, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Tarzana, CA
National Provider Identifier
1902095854
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A114088 Issued in CA
Practice address
18372 Clark St Ste 216
Tarzana, CA 91356-3556
Phone
(818) 724-8000
Fax
(818) 583-6506
NPI assigned
Oct 16, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 240477-1 NY
Cardiovascular Disease Physician 207RC0000X A114088 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X 240477-1 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X A114088 CA Primary

Addresses

Primary practice location

18372 Clark St Ste 216
Tarzana, CA 91356-3556

Mailing address

12612 Cumpston St
Valley Village, CA 91607-1914
Phone (818) 724-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000085 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244415461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Medical GroupGroup PAC ID 8123202561, 8 clinicians

Practice addresses (Care Compare)

16320 Roscoe Blvd
Suite 100
Van Nuys, CA 91406-1216
Phone (818) 904-6782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
73.42
Promoting interoperability
98
Improvement activities
40
Cost
65.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Cardiovascular Consultants Medical Group PastSince Jan 14, 2013 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: menachemwakslak@icmg.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1902095854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CUMPSTON ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071914",
            "telephone_number": "818-724-8000",
            "fax_number": "818-583-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 216",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563556",
            "telephone_number": "818-724-8000",
            "fax_number": "818-583-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKSLAK",
        "first_name": "MENACHEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "240477-1",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A114088",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "240477-1",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A114088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.