Nilima H Mamtora, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00A505820 Issued in CA

Practice address

531 S Harbor Blvd
Anaheim, CA 92805-4525

Phone

(714) 956-3535

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: nilima.mamtora.1@13001.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13001/brand/1/csg/1/fhir/r4

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.

• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA

  Medicare reassignment Care Compare group NPD
• W 2 W Medical Group Inc

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
  • NPI 1225336282
  Medicare reassignment NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1629019286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054525",
            "telephone_number": "714-956-3535",
            "fax_number": "714-956-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054525",
            "telephone_number": "714-956-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMTORA",
        "first_name": "NILIMA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00A505820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEC CODE",
            "identifier": "203BX0001X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Leon Mallory Jr., LMFT 132578
• Dianne Marie Mallory, CTRS
• Ava Grace Malloy
• Sarah Malone
• Deborah Maly-Ross, CNM
• Lady Einette Medina Manalo
• Melissa Rillo Manalo, MD
• Abigail Manansala
• Manuel Mancera Jr.
• Jashen Mander

• Obstetrics & Gynecology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.