Joshua Hugh Mandelberg, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A77044 Issued in CA

Practice address

11835 W Olympic Blvd Ste 1200E
Los Angeles, CA 90064-5801

Phone

(310) 996-8990

Fax

(310) 996-8991

NPI assigned

Mar 6, 2007

Last updated

Jun 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1154451417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645801",
            "telephone_number": "310-996-8990",
            "fax_number": "310-996-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645801",
            "telephone_number": "310-996-8990",
            "fax_number": "310-996-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBERG",
        "first_name": "JOSHUA",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tziporah Mandel, DMD
• Yoseph Mandel
• Ava D Mandelbaum, MD
• Kasey Mandelbaum, M.S., AMFT, APCC
• Rachel Sara Mandelbaum, MD
• Rita Mandelenis
• Mark Alan Mandelkern, M.D.
• Faye Ingrid Mandell, LCSW
• Lindsey Summer Mandell, MA, AMFT
• Lance Mandernack, BS, RTT

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.