Active NPI
Mandeep Jassal, M.D., M.P.H.
- Pediatric Pulmonology Physician
- Los Angeles, CA
National Provider Identifier
1194923458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- D64800
- Practice address
- 4650 W Sunset Blvd
Los Angeles, CA 90027-6062 - Phone
- (323) 361-5603
- Fax
- (323) 361-3515
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | D64800 | MD | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
6430 W Sunset Blvd
Suite 600
Los Angeles, CA 90028-7901
Phone (323) 361-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D64800 | MD | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Pediatric Pulmonology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1741 Ashland Ave
Ste 646
Baltimore, MD 21205
200 N Wolfe St
Lowr
Baltimore, MD 21287
Phone (410) 955-2049
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
Interoperability endpoints
- mjassal35582@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1871515783
-
- Pediatric Pulmonology Physician
- Baltimore, MD
- NPI 1285621714
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pediatrics Physician
- Middle River, MD
- NPI 1841009842
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1194923458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 W SUNSET BLVD",
"address_2": "SUITE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287901",
"telephone_number": "323-361-2337",
"fax_number": "323-361-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-5603",
"fax_number": "323-361-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSAL",
"first_name": "MANDEEP",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MD",
"license": "D64800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.