Individual provider Active NPI

Tejas Chandrakant Manchandia, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1619242898
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A129844 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-5313
Phone
(310) 301-6800
Fax
(310) 794-9035
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A129844 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-5313

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone (323) 442-8541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tejas.manchandia@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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
I20150904001793 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4486960432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

1260 15TH St
Suite 111
Santa Monica, CA 90404-1136
Phone (310) 393-5153

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

30700 Russell Ranch Rd
Suite 110
Westlake Village, CA 91362-9500
Phone (818) 661-6570

4323 Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

700 W 7TH St
Suite S270 D
Los Angeles, CA 90017-3768
Phone (213) 988-8339

7325 Medical Ctr Dr
Suite 106
West Hills, CA 91307-4109
Phone (818) 676-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129844CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Dec 20, 2022 Accepting new patients
Regents of the University of California CurrentSince Dec 1, 2022 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Aug 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Dec 1, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Dec 20, 2022 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2015 Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

File 59755
Los Angeles, CA 90074

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

100 Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (415) 353-2808

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

200 UCLA Medical Plz
Ste B165
Los Angeles, CA 90095
Phone (310) 206-8900

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

1187 Coast Village Rd
Ste 10B
Santa Barbara, CA 93108
Phone (805) 403-8541

1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: tmanchandia1107832@direct.uclahealth.org
  • Direct secure messaging: tejas.manchandia@direct.usc.edu

Organizations & group practices 13

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.

View all 13

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1619242898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955313",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 San Pablo St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335313",
            "country_code": "US",
            "telephone_number": "323-442-8541",
            "fax_number": "323-442-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHANDIA",
        "first_name": "TEJAS",
        "middle_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A129844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tejas.manchandia@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.