Active NPI
Jennifer Wahida Mandhai, FNP
- Family Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95025184
- Practice address
- 2592 N Santiago Blvd
Orange, CA 92867-1862 - Phone
- (855) 434-7763
- Fax
- (949) 281-5550
- NPI assigned
- Feb 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN272472 | GA | |
| Family Nurse Practitioner | 363LF0000X | 95025184 | CA | Primary |
Addresses
Primary practice location
2592 N Santiago Blvd
Orange, CA 92867-1862
Mailing address
2592 N Santiago Blvd
Orange, CA 92867-1862
Phone (855) 434-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12746 W Jefferson Blvd
Suite 2000
Playa Vista, CA 90094-2776
Phone (424) 315-2220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025184 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California PHS PC | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| MC Medical LLC | Current | Accepting new patients | |
| Zaghi Medical Inc | Current | Accepting new patients |
Locations
8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000
1420 E Palomar St
Chula Vista, CA 91913
7638 N Ingram Ave
#111A
Fresno, CA 93711
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025
3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558
1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220
3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
450 14th St NW
Atlanta, GA 30318
Phone (404) 480-9797
3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1346942133
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1649932781
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- General Practice Physician
- Dallas, GA
- NPI 1356907695
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1134686207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2592 N SANTIAGO BLVD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928671862",
"telephone_number": "855-434-7763",
"fax_number": "949-281-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2592 N SANTIAGO BLVD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928671862",
"telephone_number": "855-434-7763",
"fax_number": "949-281-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDHAI",
"first_name": "JENNIFER",
"middle_name": "WAHIDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN272472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95025184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.