Individual provider Active NPI

Al Liandro Mamaril, DO

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1497246342
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A23379 Issued in CA
Practice address
847 W Childs Ave
Merced, CA 95341-6862
Phone
(724) 379-4401
NPI assigned
May 27, 2018
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021503 PA
Student in an Organized Health Care Education/Training Program 390200000X OT018280 PA
Family Medicine Physician 207Q00000X 20A23379 CA Primary

Addresses

Primary practice location

847 W Childs Ave
Merced, CA 95341-6862

Mailing address

230 W Parkside Dr
New Castle, PA 16105-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211019000481 PA Practitioner - Family Practice 7719232479 Reassigns benefits to 2 organizations
I20230503003229 TX Practitioner - Family Practice 7719232479 Reassigns benefits to 1 organization
I20241025002161 CA Practitioner - Family Practice 7719232479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

3940 Sandpiper Ave
Merced, CA 95340-8372
Phone (209) 722-4842

847 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

857 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23379CAMDFamily Medicine Physician
OS021503PAMDFamily Medicine Physician
OT018280PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince May 8, 2023 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Golden Valley Health Centers CurrentSince Mar 1, 2025 Accepting new patients
Centerville Clinics Inc Family Medicine CurrentSince Aug 3, 2023 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2021 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 4, 2024 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 4, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Centerville Clinics, Inc CurrentSince Aug 3, 2023 Accepting new patients
Golden Valley Health Center CurrentSince Mar 1, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Centerville Clinics, Inc. Family Medicine Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince May 8, 2023 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2021 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 39)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

847 W Childs Ave
Ste A
Merced, CA 95341
Phone (209) 383-7441

847 W Childs Ave
Ste B
Merced, CA 95341

847 W Childs Ave
Ste C
Merced, CA 95341

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1510 Florida Ave
Ste B
Modesto, CA 95350
Phone (209) 574-1365

1510 Florida Ave
Ste C
Modesto, CA 95350
Phone (209) 628-1468

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

801 Cooper Rd
Oxnard, CA 93030
Phone (805) 330-8100

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 2

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1497246342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W PARKSIDE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "724-379-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMARIL",
        "first_name": "AL",
        "middle_name": "LIANDRO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021503",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT018280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.