Elda Mandi

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12030 Goshen Ave
Apt. 1
Los Angeles, CA 90049-7315

Phone

(310) 473-7807

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD
• Marcus Zachary, D.O., P.C.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1710592621
  NPD
• Carrie Horn and Associates Psychological Corporation

  • Community/Behavioral Health Agency
  • South Pasadena, CA
  • NPI 1487078820
  NPD (past)
• TMH Psychotherapy Corporation

  • Clinical Psychologist
  • Sherman Oaks, CA
  • NPI 1225563752
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1245578772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 GOSHEN AVE",
            "address_2": "APT. 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900497315",
            "telephone_number": "310-473-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 GOSHEN AVE",
            "address_2": "APT. 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900497315",
            "telephone_number": "310-473-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDI",
        "first_name": "ELDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Mandelenis
• Mark Alan Mandelkern, M.D.
• Faye Ingrid Mandell, LCSW
• Lindsey Summer Mandell, MA, AMFT
• Lance Mandernack, BS, RTT
• Tania Dafne Mandujano Lam Ortiz, AMFT
• Maria Guadalupe Mandujano
• Raksha Mane
• Jeffrie Maneepetasut, D.M.D
• Jennifer Manegold, MD

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.