Barry Ellis Mantell, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G40977 Issued in CA

Practice address

420 W Santa Elena Rd
Palm Springs, CA 92262-2926

Phone

(760) 464-3892

Fax

(760) 323-7259

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147
  NPD (past)
• Quantum Medical Radiology PC

  • Diagnostic Radiology Physician
  • Smyrna, GA
  • NPI 1164475869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1154409019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W SANTA ELENA RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622926",
            "telephone_number": "760-464-3892",
            "fax_number": "760-323-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W SANTA ELENA RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622926",
            "telephone_number": "760-464-3892",
            "fax_number": "760-323-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTELL",
        "first_name": "BARRY",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G40977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Mall, LVN
• Tyson Malveaux
• April Frances Oro Mancilla, PHARMD, MPH, CPH
• Foday Manneh, PHARM.D
• Paul T Manney, P.A.
• Robert Mao, PHARMD
• John Marasigan, LMT, CMT
• Marcel Koppel, MD, Facp, Inc.
• Daniel Margain, MD
• Mario B Ramos M D a Professional Corporation

• Diagnostic Radiology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.