Individual provider Active NPI

Andrea Mendelssohn, MD, FACOG, FABIHM

  • Obstetrics & Gynecology Physician
  • Lafayette, CA
National Provider Identifier
1144275264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A75537 Issued in CA
Practice address
970 Dewing Ave Ste 203
Lafayette, CA 94549-4260
Phone
(925) 299-9001
Fax
(925) 299-9018
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A75537 CA Primary
Gynecology Physician 207VG0400X A75537 CA

Addresses

Primary practice location

970 Dewing Ave Ste 203
Lafayette, CA 94549-4260

Mailing address

PO Box 6606
Albany, CA 94706-0606
Phone (510) 529-6659

Other practice location 1

19845 Lake Chabot Rd
Suite 200
Castro Valley, CA 94546-4055
Phone (510) 581-0800

Other identifiers 1

IdentifierTypeStateIssuer
00A755370MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041021000399 CA Practitioner - Obstetrics/Gynecology 0648231860 Reassigns benefits to 1 organization
I20250310000809 VT Practitioner - Obstetrics/Gynecology 0648231860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Medical Center IncGroup PAC ID 4880683663, 55 clinicians

Practice addresses (Care Compare)

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Hospital & facility affiliations

  • Gifford Medical Center Hospital, Randolph, VT, CCN 471301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75537CAMDObstetrics & Gynecology Physician
75537CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc. CurrentSince Dec 15, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Feb 13, 2018 Accepting new patients
Gifford Medical Center Inc CurrentSince Dec 15, 2024 Accepting new patients
Sutter East Bay Medical Foundation Obstetrics & Gynecology Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144275264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6606",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947060606",
            "telephone_number": "510-529-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 DEWING AVE STE 203",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494260",
            "telephone_number": "925-299-9001",
            "fax_number": "925-299-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19845 Lake Chabot Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464055",
            "country_code": "US",
            "telephone_number": "510-581-0800",
            "fax_number": "510-581-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSSOHN",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD, FACOG, FABIHM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A75537",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A75537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A755370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.