Individual provider Active NPI

Judit Zsuzsanna Mandi, M.D.

  • Pediatrics Physician
  • Pomona, CA
National Provider Identifier
1447374467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A51036 Issued in CA
Practice address
1798 N Garey Ave
Pomona, CA 91767-2918
Phone
(909) 865-9871
Fax
(909) 397-0364
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A51036 CA Primary

Addresses

Primary practice location

1798 N Garey Ave
Pomona, CA 91767-2918

Mailing address

PO Box 6669
Altadena, CA 91003-6669

Other identifiers 1

IdentifierTypeStateIssuer
00A510361MedicaidCA

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
I20120404000849 CA Practitioner - Pediatric Medicine 3971763657 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51036CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Pediatrics CurrentSince Mar 7, 2023 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Wyoming Medical Center Inc Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

800 Fairmount Ave
Ste 310
Pasadena, CA 91105
Phone (626) 449-7350

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

Interoperability endpoints

  • Direct secure messaging: judit.mandi.1@17363.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
  • Direct secure messaging: judit.mandimd.p1@direct.jwch.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447374467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6669",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910036669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-865-9871",
            "fax_number": "909-397-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDI",
        "first_name": "JUDIT",
        "middle_name": "ZSUZSANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.