Stephanie J Mandelman M D Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A68965 Issued in CA

Legal business name

STEPHANIE J MANDELMAN M D INC

Practice address

1250 La Venta Dr
101B
Westlake Village, CA 91361-3702

Phone

(805) 496-0880

Fax

(805) 496-6670

NPI assigned

May 9, 2011

Organization subpart

No

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

Authorized official

Name

Stephanie J Mandelman, M D INCNPI 1851315196

Title

Owner

Phone

(805) 496-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie J Mandelman, M D

  • Obstetrics & Gynecology Physician
  • Westlake Village, CA
  • NPI 1851315196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1467744466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "101B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-496-0880",
            "fax_number": "805-496-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "101B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-496-0880",
            "fax_number": "805-496-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE J MANDELMAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "MANDELMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-496-0880",
        "authorized_official_credential": "M D INC"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A68965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A68965",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Stark, D.O.
• Jenna Elizabeth Starn
• State of Mind Wellness Center
• Andrea Stein
• Dean Scott Steinberger, O.D.
• William Steve Stephens, DDS.
• Alexandra Steric, LCSW
• Stephen Sterzik, MS, CCP
• Steven C. Greenman, D.D.S., Inc.
• Steven E Bansbach M D a Medical Corporation

• Obstetrics & Gynecology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.