Individual provider Active NPI

Paul Matthew Mandelin, D.O.

  • Radiation Oncology Physician
  • Corona, CA
National Provider Identifier
1124290101
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
20A10281 Issued in CA
Practice address
1280 Corona Pointe CT
Suite 112
Corona, CA 92879-1770
Phone
(951) 898-2826
Fax
(951) 898-2811
NPI assigned
Mar 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 55638 WI
Radiation Oncology Physician 2085R0001X 20A10281 CA Primary

Addresses

Primary practice location

1280 Corona Pointe CT
Suite 112
Corona, CA 92879-1770

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000315 CA Practitioner - Radiation Oncology 6507034758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Western University of Health Sciences College of Dental Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1100 San Bernardino Rd
Suite 1100
Upland, CA 91786-4923
Phone (909) 949-2242

320 W 6TH St
Corona, CA 92882-3349
Phone (951) 898-2828

6939 Palm CT
Riverside, CA 92506-2815
Phone (951) 683-6771

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10281CAMDRadiation Oncology Physician
55638WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Aug 11, 2014 Accepting new patients
Uhs Corona Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
California Cancer Specialists Medical Group Inc Radiation Oncology Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

320 W 6th St
Corona, CA 92882
Phone (951) 898-2828

1280 Corona Pointe Ct
Corona, CA 92879
Phone (951) 817-5000

1280 Corona Pointe Ct
Ste 112
Corona, CA 92879
Phone (951) 736-0351

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

210 S Grand Ave
Ste 425
Glendora, CA 91741
Phone (626) 335-0213

1502 Arrow Hwy
La Verne, CA 91750
Phone (909) 593-4333

1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514

630 S Raymond Ave
Unit 220
Pasadena, CA 91105
Phone (626) 218-9500

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pmandelin9835@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1124290101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CORONA POINTE CT",
            "address_2": "SUITE 112",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791770",
            "telephone_number": "951-898-2826",
            "fax_number": "951-898-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELIN",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "55638",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "20A10281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.