Individual provider Active NPI

Mandakini Hersh Patel, M.D.

  • Internal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1457739161
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A158658 Issued in CA
Practice address
1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone
(925) 947-3393
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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 A158658 CA Primary

Addresses

Primary practice location

1220 Rossmoor Pkwy
Walnut Creek, CA 94595

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 1

1155 Mill St # W11
Reno, NV 89502-1576
Phone (775) 327-5174

Other practice location 2

2700 Grant St Ste 200
Concord, CA 94520-2270
Phone (925) 674-2609

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
I20191028000801 CA Practitioner - Internal MedicinePractitioner - Hospitalist 9436466752 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solomon Physicians Group PCGroup PAC ID 6709385677, 14 clinicians
Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians
Axis Community Health IncGroup PAC ID 7012975071, shared by 5 NPIs, 39 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians

Practice addresses (Care Compare)

19112 Garden Valley Way
Salinas, CA 93908-1557
Phone (831) 402-8728

2530 Solace PL
Mountain View, CA 94040-4309
Phone (408) 401-2581

2700 Grant St
Suite 200
Concord, CA 94520-2270
Phone (925) 674-0500

5925 W Las Positas Blvd
Pleasanton, CA 94588-8537

6001 Norris Canyon Rd
San Ramon, CA 94583-5400
Phone (925) 275-9200

Hospital & facility affiliations

  • Athome Healthcare Team, LLC Home health agency, American Canyon, CA, CCN 059644
  • Sutter Care at Home Hospice, Alameda, CA, CCN 051555
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Golden Harbor Healthcare Center Nursing home, Hayward, CA, CCN 056471
  • Solano Post Acute Nursing home, Vallejo, CA, CCN 056238
  • Creekview Skilled Nursing Nursing home, Pleasanton, CA, CCN 555895

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158658CAMDInternal Medicine Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Oct 15, 2024 Accepting new patients
California Post-Acute Medical Group 1, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Solomon Physicians Group PC Internal Medicine CurrentSince Mar 10, 2026 Accepting new patients
John Muir Physician Network CurrentSince Oct 3, 2019 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince May 4, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Oct 7, 2019 Accepting new patients
CS Pacs 3 Ca Medical Group Inc Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Solomon Medical Inc Internal Medicine Current Accepting new patients
Solomon Medical Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Oct 15, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Raksha Health Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2140 Carlmont Dr
Belmont, CA 94002
Phone (650) 591-9601

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

21863 Vallejo St
Cherryland, CA 94541
Phone (510) 481-3200

2700 Grant St
Ste 200
Concord, CA 94520
Phone (925) 674-2609

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

1855 Miramonte Ave
Mountain View, CA 94040
Phone (650) 961-6484

1120 Forest Ave
Pacific Grove, CA 93950
Phone (831) 200-9651

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500

1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447

2295 Plummer Ave
San Jose, CA 95125
Phone (408) 269-0701

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2620 Flores St
San Mateo, CA 94403
Phone (650) 349-2161

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

20400 Saratoga Los Gatos Rd
#R
Saratoga, CA 95070
Phone (408) 741-2950

1002 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-2383

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mpatel538491@hisp.ehr.sutterhealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Solano Post AcuteVallejo, CA, CCN 056238 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 15, 2024
Nov 15, 2024
Golden Harbor Healthcare CenterHayward, CA, CCN 056471 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 16, 2025
Jan 16, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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 13

Hospital & facility affiliations 9

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1457739161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ROSSMOOR PKWY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "925-947-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St # W11",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-327-5174",
            "fax_number": "775-327-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Grant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202270",
            "country_code": "US",
            "telephone_number": "925-674-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANDAKINI",
        "middle_name": "HERSH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A158658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.