Menachem Wakslak (NPI# 1902095854, PAC ID# 0244415461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1902095854 |
| PAC ID by PECOS | 0244415461 |
| Professional Enrollment ID | I20110503000085 |
| Full Name | Menachem Wakslak |
| Organization Legal Name | INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC |
| Address |
23101 Sherman Pl Suite 110 West Hills CA 91307-2002 |
| Phone Number | 8187028800 |
| Gender | M |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 2003 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7214994482 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050761 | PROVIDENCE TARZANA MEDICAL CENTER |
| 050126 | VALLEY PRESBYTERIAN HOSPITAL |
| 050481 | WEST HILLS HOSPITAL & MEDICAL CENTER |
| 050278 | PROVIDENCE HOLY CROSS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16119 Vanowen St, Van Nuys, CA 91406-4822 | 8189046782 | THE HEART MEDICAL GROUP |
| 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 | 8187028800 | INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin J Cohen | Cardiac Electrophysiology | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Pamela N Yamek | Nurse Practitioner | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Michael B Levey | Cardiovascular Disease (cardiology) | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Theresa A Brown | Nurse Practitioner | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Ramin Farshi | Cardiovascular Disease (cardiology) | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Farhad Rafii | Cardiovascular Disease (cardiology) | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Street Address |
23101 SHERMAN PL SUITE 110 |
| City | WEST HILLS |
| State | CA |
| Zip | 91307-2002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri E Engelberg | Neurology | 23101 Sherman Pl, Suite 501, West Hills, CA 91307-2039 | |
| Benjamin J Cohen | Cardiac Electrophysiology | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Pamela N Yamek | Nurse Practitioner | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Fuad F Rafidi | Vascular Surgery | San Fernando Valley Vascular Group A Medical Corporation | 23101 Sherman Pl, Suite 302, West Hills, CA 91307-2047 |
| Michael B Levey | Cardiovascular Disease (cardiology) | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Theresa A Brown | Nurse Practitioner | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Ramin Farshi | Cardiovascular Disease (cardiology) | Interventional Cardiology Medical Group, Inc | 23101 Sherman Pl, Suite 110, West Hills, CA 91307-2002 |
| Margarita Mancheva | Physical Therapy | Forward Motion Physical Therapy | 23101 Sherman Pl, Suite 515, West Hills, CA 91307-2052 |
| Sedi Hadadian | Obstetrics/gynecology | 23101 Sherman Pl, Suite 401, West Hills, CA 91307-2028 | |
| Paul E. Diehl | Hospice/palliative Care | 23101 Sherman Pl, Suite 302, West Hills, CA 91307-2047 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald M Baum | Neurology | 7320 Woodlake Ave, Suite 375, West Hills, CA 91307-1404 | |
| Golnaz Saedi | Internal Medicine | 7320 Woodlake Ave, Suite 170, West Hills, CA 91307-1405 | |
| Mahbod Paya | Emergency Medicine | 7320 Woodlake Ave, Suite 170, West Hills, CA 91307-1405 | |
| Jonathan S Matthew | Gastroenterology | Insite Digestive Healthcare | 7320 Woodlake Ave, Suite 260, West Hills, CA 91307-1470 |
| Cyrus A Badii | Gastroenterology | Insite Digestive Healthcare | 7320 Woodlake Ave, Suite 260, West Hills, CA 91307-1470 |
| Ron Chitayat | Gastroenterology | Insite Digestive Healthcare | 7320 Woodlake Ave, Suite 260, West Hills, CA 91307-1470 |
| Craig Ryan Gluckman | Internal Medicine | The Regents of The University of California | 7320 Woodlake Ave, Suite 320, West Hills, CA 91307-1471 |
| David S Kim | Ophthalmology | 7320 Woodlake Ave, Suite 360, West Hills, CA 91307-1472 | |
| Shahab Attarchi | Critical Care (intensivists) | 7320 Woodlake Ave, Suite 170, West Hills, CA 91307-1479 | |
| Renee Ellen Cotter | Obstetrics/gynecology | 7320 Woodlake Ave, Suite 160, West Hills, CA 91307-1481 | |
| Find all physicians in zip 91307 | |||
| City | WEST HILLS |
| Zip Code | 91307 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | WEST HILLS + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Menachem Wakslak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.