Active NPI
Amado D. Mandani M.D.,Inc.
- Adult Medicine Physician
- Baldwin Park, CA
National Provider Identifier
1053587832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A32026
- Legal business name
- AMADO D. MANDANI M.D.,INC.
- Practice address
- 14338 Ramona Blvd
Baldwin Park, CA 91706-3241 - Phone
- (626) 962-7886
- Fax
- (626) 962-4636
- NPI assigned
- May 1, 2008
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amado David Mandani, M.D.
- Title
- President
- Phone
- (626) 962-7886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A32026 | CA | Primary |
Addresses
Primary practice location
14338 Ramona Blvd
Baldwin Park, CA 91706-3241
Mailing address
14338 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone (626) 962-7886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A320260 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Baldwin Park, CA
- NPI 1093894552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1053587832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14338 RAMONA BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063241",
"telephone_number": "626-962-7886",
"fax_number": "626-962-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14338 RAMONA BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063241",
"telephone_number": "626-962-7886",
"fax_number": "626-962-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMADO D. MANDANI M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "MANDANI",
"authorized_official_first_name": "AMADO",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-962-7886",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A32026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A320260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.