Individual provider Active NPI

Jada Mandy Ma, M.D.

  • Internal Medicine Physician
  • Cerritos, CA
National Provider Identifier
1568440618
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A048609 Issued in CA
Practice address
16510 Bloomfield Ave.
Cerritos, CA 90703-9346
Phone
(562) 229-0902
Fax
(562) 229-0952
NPI assigned
Jan 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 A048609 CA Primary

Addresses

Primary practice location

16510 Bloomfield Ave.
Cerritos, CA 90703-9346

Mailing address

75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

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
I20101110000198 CA Practitioner - Internal Medicine 1153516638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90066
Phone (310) 445-5999

1821 E Chapman Ave
Fullerton, CA 92831-4183
Phone (714) 879-7301

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue773
Removal of skin lesions149
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A048609CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group Inc. CurrentSince Oct 3, 2016 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Nov 27, 2017 Accepting new patients
Skilled Biologics, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Nov 27, 2017 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

16510 Bloomfield Ave
Cerritos, CA 90703
Phone (562) 229-0902

1821 E Chapman Ave
Fullerton, CA 92831
Phone (714) 879-7301

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

5455 S Centinela Ave
Los Angeles, CA 90066

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

502 Torrance Blvd
Redondo Beach, CA 90277
Phone (213) 316-0811

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions

Organizations & group practices 8

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": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568440618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 BLOOMFIELD AVE.",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039346",
            "telephone_number": "562-229-0902",
            "fax_number": "562-229-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JADA",
        "middle_name": "MANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A048609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.