Angela Marie Mandas, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7462 Issued in CA

Practice address

2741 Woodstock Rd
Los Alamitos, CA 90720-4440

Phone

(562) 430-1202

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christy Malonzo Physical Therapist Inc and Manjiri Dahdul Physical theGroup PAC ID 4284637372, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

• Christy Malonzo Physical Therapist Inc. & Manjiri Dahdul Physical Ther

  dba Precision Rehabilitation

  • Neurology Physical Therapist
  • Long Beach, CA
  • NPI 1124064076
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053438358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 WOODSTOCK RD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204440",
            "telephone_number": "562-430-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 WOODSTOCK RD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204440",
            "telephone_number": "562-430-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP7462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP7462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cary Makiyama, DPT
• Marsalee Malatesta, LCSW
• Malcolm Healthcare, Inc. (Alamitos West Health and Rehabilitation)
• Mark Ray Mallett, D.D.S
• Mamelita Inc. (Living Well Home Care)
• Charles M Maples, D.O.
• Mariasol Pena MD
• Marie Mbouni M.D a Medical Corporation
• Lisa Markouizos
• Paige Alexandra Marks, CADC I

• Speech-Language Pathologist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.