DR. MIMI SHAGAGA INC. (NPI# 1831653781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831653781 |
| Entity Type | Organization |
| Organization Name | DR. MIMI SHAGAGA INC. |
| Practice Address |
20300 Ventura Blvd Ste 315 Woodland Hills CA 91364-0903 |
| Mailing Address |
13351d Riverside Dr Ste 598 Sherman Oaks CA 91423-2508 |
| Practice Telephone | 4242742963 |
| Mailing Telephone | 4242742963 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | KARIMA SHAGAGA (PRESIDENT) |
| Authorized Official Telephone | 4242742963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 S Beverly Dr Ste T, Beverly Hills, CA 902124303 | 4242742963 |
| Street Address |
20300 VENTURA BLVD STE 315 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366620908 | Stefan Marc Rosenthal | Marriage & Family Therapist | 20300 Ventura Blvd Ste 315, Woodland Hills, CA 91364-0903 | 2008-02-06 |
| 1114496437 | Shirley J Sunn, Inc Licensed Clinical Social Worker | Social Worker | 20300 Ventura Blvd Ste 315, Woodland Hills, CA 91364-0903 | 2018-11-15 |
| 1528581709 | Karima Shagaga | Psychologist | 20300 Ventura Blvd Ste 315, Woodland Hills, CA 91364-0903 | 2017-07-19 |
| 1912447301 | Melissa Zartar | Marriage & Family Therapist | 20300 Ventura Blvd Ste 315, Woodland Hills, CA 91364-0903 | 2017-03-03 |
| 1295031862 | Maryam T Farmani | Marriage & Family Therapist | 20300 Ventura Blvd Ste 315, Woodland Hills, CA 91364-0903 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1902930332 | Pacific Lodge Youth Services | Clinic/Center | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2007-03-15 |
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| Find all providers with the same taxonomy | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.