Mavida Care Group of California PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MAVIDA CARE GROUP OF CALIFORNIA PC

Practice address

11911 San Vicente Blvd Ste 280
Los Angeles, CA 90049-6611

Phone

(818) 590-1369

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Oreck, MDNPI 1215356118

Title

Ceo

Phone

(818) 590-1369

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Mavida Health Inc. Doing business as

Locations

Practitioners 1

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

• Sarah Oreck, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1215356118
  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1992486013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WOODLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361443",
            "telephone_number": "818-554-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496611",
            "telephone_number": "818-590-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIDA CARE GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "ORECK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-590-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215356118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mavida Health Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahsa Mauriello
• Mauro Cal Med Pharmacy Inc
• Donald Lawrence Mauro, MFC
• Tara Mavadat, DDS
• Mary Maverick, OTR/L
• Christine Michelle Mavilian, MS
• Mavis Rode Physical Therapy, Inc
• Maureen Mavrinac, M.D.
• Jonathan Maw, DO
• Thin Thin Maw, MD

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.