NPIMap

Organization Active NPI

Mend Medical Inc

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1356792394
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82516 Issued in CA
Legal business name
MEND MEDICAL INC
Practice address
4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5546
Phone
(310) 488-2830
Fax
(888) 502-9285
NPI assigned
Jun 30, 2016
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Dr. Anthony Cardillo, M.D.NPI 1861433021
Title
President
Phone
(310) 488-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A82516 CA Primary

Addresses

Primary practice location

4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5546

Mailing address

4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5546
Phone (310) 488-2830

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25159/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1356792394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235546",
            "telephone_number": "310-488-2830",
            "fax_number": "888-502-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235546",
            "telephone_number": "310-488-2830",
            "fax_number": "888-502-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-488-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.