Mao Inhibitors

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAO INHIBITORS

Practice address

5158 Clareton Dr Unit 1602
Agoura Hills, CA 91376-7086

Phone

(818) 906-4224

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Neil ShahNPI 1417454075

Title

Physician

Phone

(323) 696-2647

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Shah

  • Internal Medicine Physician
  • North Little Rock, AR
  • NPI 1417454075

  CA, General Practice

  Medicare reassignment NPD Authorized official
• Michael Neil Kirschner, D.O.

  • Family Medicine Physician
  • Atascadero, CA
  • NPI 1982634432
  Medicare reassignment NPD
• Yogesh Shah

  • Pharmacist
  • Oak Park, CA
  • NPI 1750731097
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1992454094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 CLARETON DR UNIT 1602",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913767086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 CLARETON DR UNIT 1602",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913767086",
            "telephone_number": "818-906-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO INHIBITORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-696-2647"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyla Mallak, RN, MSN, PMHNP-BC
• Lori Manduke, RN, NP, IBCLC
• Anne Mangan
• Deena R Manion, PSY.D, LCSW
• Laurie Ellen Mann, OMD LAC MH
• Dianna Woolston Marcello, CERTIFIED THERAPIST
• Amy Marciano, PPS, LEP3788, BCBA
• Aida Marjanjou
• Marks House, LLC
• Denise Martinez, LCSW

• Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.