Active NPI
Paul Matthew Mandelin, D.O.
- Radiation Oncology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 20A10281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10281 | CA | MD | Radiation Oncology Physician |
| 55638 | WI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Radiation Oncology | Current | 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
- pmandelin9835@cityofhope.direct-ci.com
- 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.
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Radiation Oncology
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
Radiation Oncology
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.