Individual provider Active NPI

Depinder Mann, M.D.

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1336162817
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92619 Issued in CA
Practice address
555 N State College Blvd
Ste 100
Anaheim, CA 92806-2900
Phone
(714) 520-8470
Fax
(714) 520-8471
NPI assigned
Jul 25, 2006
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A92619 CA Primary

Addresses

Primary practice location

555 N State College Blvd
Ste 100
Anaheim, CA 92806-2900

Mailing address

1665 Scenic Ave. Suite 100
Costa Mesa, CA 92626
Phone (714) 744-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000183 CA Practitioner - Family Practice 2961507447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 S Harbor Blvd
Santa Ana, CA 92704-7933
Phone (888) 988-2800

5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92619CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 19, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 6, 2012 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 6, 2012 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 19, 2016 Accepting new patients
Talbert Medical Group, P.C. Family Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

7872 Walker St
Ste 100
La Palma, CA 90623
Phone (714) 522-4009

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1336162817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 SCENIC AVE. SUITE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-744-5000",
            "fax_number": "714-744-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N STATE COLLEGE BLVD",
            "address_2": "STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062900",
            "telephone_number": "714-520-8470",
            "fax_number": "714-520-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "DEPINDER",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.