Individual provider Active NPI

Denica Gordon Mandel

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1467701466
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
420 S San Pedro St Ste G4
Los Angeles, CA 90013-1938
Phone
(213) 620-5712
Fax
(213) 621-4155
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

420 S San Pedro St Ste G4
Los Angeles, CA 90013-1938

Mailing address

420 S San Pedro St Ste G4
Los Angeles, CA 90013-1938
Phone (213) 620-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1467701466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S SAN PEDRO ST STE G4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131938",
            "telephone_number": "213-620-5712",
            "fax_number": "213-621-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SAN PEDRO ST STE G4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131938",
            "telephone_number": "213-620-5712",
            "fax_number": "213-621-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON MANDEL",
        "first_name": "DENICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.