Mansour Nejadrasool, DPM
in Van Nuys, CA. Individual provider (NPI-1).
NPI number1477565828
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1477565828
- Entity type
- Individual (NPI-1)
- Name
- Mansour Nejadrasool
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2006
- Last updated
- Aug 29, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | E4452 | CA | Yes | |
| 213E00000X | Podiatrist | E4452 | CA |
Practice location
14600 Sherman Way Ste 230Van Nuys, CA 91405
Phone 818-784-8420 · Fax 818-785-0028
Mailing address
14600 Sherman Way Ste 230Van Nuys, CA 91405-2291
Phone 818-784-8420 · Fax 818-785-0028
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