Active NPI
Tziporah Mandel, DMD
- Dentist
- Los Angeles, CA
National Provider Identifier
1134552268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64046
- Practice address
- 1815 Edgecliffe Dr
Los Angeles, CA 90026-1147 - Phone
- (310) 977-3505
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64046 | CA | Primary |
Addresses
Primary practice location
1815 Edgecliffe Dr
Los Angeles, CA 90026-1147
Mailing address
1815 Edgecliffe Dr
Los Angeles, CA 90026-1147
Phone (310) 977-3505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 13, 2021 through Dec 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1134552268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 EDGECLIFFE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261147",
"telephone_number": "310-977-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 EDGECLIFFE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261147",
"telephone_number": "310-977-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "TZIPORAH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.