Amado David Mandani, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A32026 Issued in CA

Practice address

14338 Ramona Blvd
Baldwin Park, CA 91706-3241

Phone

(626) 962-7886

Fax

(626) 962-4636

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1093894552",
    "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": {
        "last_name": "MANDANI",
        "first_name": "AMADO",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Maldonado, PHARMD
• Gregory B. Maletis, MD
• Abdalla M Mallouk, MD
• Kim D. Man, MD
• Eliezer S. Manacop, MD
• Erwin Mandani
• Kimdeep Mangat, MD
• Carlo Manookian, MD
• Monica Maravilla
• Julie M Marenco, NP

• General Practice Physician in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.