Individual provider Active NPI

Mitali Wadekar, M.D.

  • Psychiatry Physician
  • Inglewood, CA
National Provider Identifier
1588853014
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110765 Issued in CA
Practice address
501 E Hardy St Ste 425
Inglewood, CA 90301-4067
Phone
(747) 998-0387
Fax
(747) 201-4700
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A110765 CA Primary

Addresses

Primary practice location

501 E Hardy St Ste 425
Inglewood, CA 90301-4067

Mailing address

23388 Mulholland Dr
The Lodge / Alliance for Wellness
Woodland Hills, CA 91364-2733
Phone (747) 998-0387

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
I20130402000258 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7618123399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Sep 20, 2010 Accepting new patients
Health Alliance Socal, Inc Psychiatry CurrentSince Oct 10, 2022 Accepting new patients
VP Anesthesia Partners, Inc PastSince Jan 29, 2023 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

501 E Hardy St
Ste 425
Inglewood, CA 90301
Phone (310) 419-4303

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1588853014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "address_2": "THE LODGE / ALLIANCE FOR WELLNESS",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "747-998-0387",
            "fax_number": "747-201-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST STE 425",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014067",
            "telephone_number": "747-998-0387",
            "fax_number": "747-201-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEKAR",
        "first_name": "MITALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.