Mandi Lonergan, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95027743 Issued in CA

Practice address

503 Seaport CT Ste 102
Redwood City, CA 94063-5565

Phone

(209) 505-6288

NPI assigned

Jul 27, 2016

Last updated

Jun 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1578016572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 NEWCASTLE DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SEAPORT CT STE 102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940635565",
            "telephone_number": "209-505-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "MANDI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027743",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "662178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Logan, LVN
• Alexander Loh
• Daniel Loh, CRNA
• Ern Loh, M.D.
• Maria Lombera Mendoza
• Medea Long
• Thomas Mark Longa, O.D.
• Longs Drug Stores California LLC (CVS Pharmacy #09329)
• Longs Drug Stores California LLC (CVS Pharmacy #09690)
• Lorraine Lonnie

• Nurse Practitioner in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; 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.