Individual provider Active NPI

Jennifer Wahida Mandhai, FNP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1134686207
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025184 Issued in CA
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

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230518003336 GA Practitioner - Nurse Practitioner 1456771062 Reassigns benefits to 1 organization
I20231110001214 CA Practitioner - Nurse Practitioner 1456771062 Reassigns benefits to 2 organizations

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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

LicenseStateTypeSpecialty
95025184CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California PHS PC CurrentSince Jan 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 12, 2026 Accepting new patients
J M Geiss DO Apc CurrentSince Nov 27, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Mar 29, 2023 Accepting new patients
MC Medical LLC Current Accepting new patients
Zaghi Medical Inc CurrentSince Oct 6, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.