Individual provider Active NPI

Mandaar Gokhale, MD

  • Emergency Medicine Physician
  • Downey, CA
National Provider Identifier
1023059219
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G84628 Issued in CA
Practice address
11500 Brookshire Ave
Downey, CA 90241-4917
Phone
(562) 904-5000
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G84628 CA Primary

Addresses

Primary practice location

11500 Brookshire Ave
Downey, CA 90241-4917

Mailing address

PO Box 39159
Downey, CA 90239-0159
Phone (562) 809-3576

Other identifiers 1

IdentifierTypeStateIssuer
00G846280MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090409000325 WY Practitioner - Emergency Medicine 0840347894 Reassigns benefits to 5 organizations
I20100222000290 CA Practitioner - Emergency Medicine 0840347894 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 327-1792

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G84628CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washakie Medical Center CurrentSince Apr 9, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 14, 2022 Accepting new patients
Platte County Hospital CurrentSince Feb 20, 2012 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Apr 24, 2023 Accepting new patients
Community Hospital CurrentSince Feb 18, 2009 Accepting new patients
Platte County Hospital CurrentSince Feb 20, 2012 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 14, 2022 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Platte County Hospital Current Accepting new patients
Community Hospital CurrentSince Feb 18, 2009 Accepting new patients
Washakie Medical Center CurrentSince Apr 9, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Emergency Physicians Medical Group Inc. Emergency Medicine Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

654 Camino de los Mares
San Clemente, CA 92673
Phone (949) 489-4507

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1023059219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39159",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902390159",
            "telephone_number": "562-809-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414917",
            "telephone_number": "562-904-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKHALE",
        "first_name": "MANDAAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G84628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846280",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.