Individual provider Active NPI

Mandy Lee Ramani, M.D.

  • Dermatopathology Physician
  • La Canada, CA
National Provider Identifier
1497750640
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G72436 Issued in CA
Practice address
1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141
Phone
(818) 790-6726
Fax
(818) 790-9562
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X G72436 CA Primary

Addresses

Primary practice location

1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141

Mailing address

1346 Foothill Blvd
Ste 203
La Canada, CA 91011-2141
Phone (818) 790-6726

Other identifiers 3

IdentifierTypeStateIssuer
070010868OtherCHAMPUS
00G724360MedicaidCA
ZZZ157447OtherBLUE SHIELD

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
I20100608000740 CA Practitioner - Dermatology 4385774975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Descanso Dermatology Medical GroupGroup PAC ID 4587794177, 4 clinicians

Practice addresses (Care Compare)

1346 Foothill Blvd
Suite 203
La Canada, CA 91011-2141
Phone (818) 790-6726

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions819
Skin biopsy95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72436CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Descanso Dermatology Medical Group Dermatopathology CurrentSince Sep 1, 1996 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

1346 Foothill Blvd
Ste 203
La Canada Flt, CA 91011
Phone (818) 790-6726

Organizations & group practices 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1497750640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "STE 203",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112141",
            "telephone_number": "818-790-6726",
            "fax_number": "818-790-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "STE 203",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112141",
            "telephone_number": "818-790-6726",
            "fax_number": "818-790-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANI",
        "first_name": "MANDY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G72436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "070010868",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G724360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ157447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

Verify at the official NPI Registry.