NPIMap

Individual provider Active NPI

Smita Dinesh Mandal, M.D.

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1285876854
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A114250 Issued in CA
Practice address
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone
(805) 582-4000
NPI assigned
Mar 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A114250 CA Primary

Addresses

Primary practice location

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5691

Other practice location 1

11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Phone (818) 837-5785

Other identifiers 1

IdentifierTypeStateIssuer
00A114250MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smita.mandal@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000504 CA Practitioner - Internal Medicine 0345419990 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4075

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

  • Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Apr 4, 2017 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Allure Medical Group a Professional Corporation CurrentSince Apr 6, 2019 Accepting new patients
Jonathan Nasseri MD Corp Internal Medicine CurrentSince May 22, 2013 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Point Pleasant Physician Billing Services Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

501 S Reino Rd
Ste 200
Newbury Park, CA 91320

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1534 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 497-1800

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Interoperability endpoints

  • Direct secure messaging: smita.mandal@ventura.cernerdirect.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 4

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": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1285876854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5691",
            "fax_number": "818-792-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652871",
            "telephone_number": "805-582-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11165 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451113",
            "country_code": "US",
            "telephone_number": "818-837-5785",
            "fax_number": "818-898-1842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAL",
        "first_name": "SMITA",
        "middle_name": "DINESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-29",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A114250",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smita.mandal@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "1227 E Los Angeles Ave",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.