Mikhail Vizel, MD, Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53626 Issued in CA

Legal business name

MIKHAIL VIZEL, MD, MEDICAL CORPORATION

Practice address

5000 Van Nuys Blvd Ste 200
Sherman Oaks, CA 91403-1717

Phone

(818) 580-2285

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mikhail Vizel, MDNPI 1366477333

Title

President

Phone

(818) 716-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Mikhail Vizel, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1366477333
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1992739957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 HIGHTOP ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215053",
            "telephone_number": "818-580-2364",
            "fax_number": "818-986-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-580-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL VIZEL, MD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "VIZEL",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-716-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A0536260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Valley Hospitalist Medical Group,Inc
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• Christian Middelthon, D.C.
• Ahtziri Miguel
• Mihaela Gueorguieva Mihaylova
• Milad Sean Hedayat, D.P.M., PC
• Niki Farnaz Milani, PH.D.
• Anne Milder
• Colleen K. Miller, M.F.T.
• Deon Miller

• Internal Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.