Lee Bella Abuan Mandap, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95000984 Issued in CA

Practice address

69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344

Phone

(760) 321-6776

NPI assigned

Aug 19, 2014

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmandap684770@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dap Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Palm Springs, CA
  • NPI 1306464326
  Medicare reassignment NPD
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment NPD
• Prime Health Assessment Medical Group Inc

  • Clinic/Center
  • Palm Springs, CA
  • NPI 1164100061
  Medicare reassignment
• Prime Link Medical Specialty Group Inc.

  • Urgent Care Clinic/Center
  • Hawaiian Gardens, CA
  • NPI 1861338840
  Authorized official Same address or phone
• Dap Health, Inc.

  dba DAP Health-Borrego Springs Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Borrego Springs, CA
  • NPI 1134144165
  NPD
• Dap Health, Inc.

  dba DAP Health-Centro Medico El Cajon

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1154480069
  NPD
• Dap Health, Inc.

  dba DAP Health-Anza Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Anza, CA
  • NPI 1942623657
  NPD
• Business Needs

  dba Human Touch Behavioral Health

  • Psychiatric Hospital
  • Sacramento, CA
  • NPI 1962936617
  NPD (past)
• Human Touch Behavioral Health Inc

  dba Archana Trivedi

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1942548953
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1629477344",
    "addresses": [
        {
            "country_code": "PH",
            "country_name": "Philippines",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7601 MASTERS ST",
            "city": "ELK GROVE",
            "state": "CALIFORNIA",
            "postal_code": "95758",
            "telephone_number": "916-897-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD BLDG A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Masters St",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "95758",
            "country_code": "US",
            "telephone_number": "916-897-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAP",
        "first_name": "LEE BELLA",
        "middle_name": "ABUAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95000984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macdremma, Inc (anytime fitness)
• Oscar Maldonado, DDS
• Malka Greene Alley Inc. (Adjustable Bed Mart)
• Victoria Malkhasyan, M.D.
• Mary Grace Mamasig
• Lissa Michelle Mann-Cervera, MA
• Antonio M Manriquez Jr., D.C.
• Ling Marang
• Beatrice Marie Martinez, CADAC-II
• Jacob Mason, PT

• Psychiatric/Mental Health Nurse Practitioner in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.