William Mandrick, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83686 Issued in CA

Legal business name

WILLIAM MANDRICK, M.D., INC.

Practice address

17310 Ventura Blvd
Encino, CA 91316-3904

Phone

(818) 728-4260

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Mandrick, MDNPI 1932270097

Title

Ceo

Phone

(818) 728-4260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Mandrick, WILLIAM MANDRICK

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1932270097
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1124200506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HACKAMORE LN",
            "city": "BELL CANYON",
            "state": "CA",
            "postal_code": "913071017",
            "telephone_number": "818-716-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-728-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MANDRICK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MANDRICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-728-4260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Wiener, MS, MPH
• Kanishka Wijegunaratne, M.D.
• Sandra Lee Wilder-Padilla, PHD
• Steven Alexander Wildgor, BCBA
• Claire McCance Willenson, M.A., LMFT
• Alicia Williams
• Angela Francine Williams, PSY.D
• Brie M Williams
• Carolyn Lee Williams, PHD
• Chad Williams

• Ophthalmology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.