Alan Irving Mandelberg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G39019 Issued in CA

Practice address

4418 Vineland Ave
#106
North Hollywood, CA 91602-3457

Phone

(818) 762-0647

Fax

(818) 762-7834

NPI assigned

Jan 16, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• A Center for Visioncare Surgical & Medical Group

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1912058728
  Medicare reassignment NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1659422582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "#106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBERG",
        "first_name": "ALAN",
        "middle_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G390190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niharika Reddy Mallepally, MD MPH
• Jeffrey J Malone, DC
• Jose Luis Malta
• Man Tran Chiropractic, Inc.
• Luz M Mancia, BCBA
• Mann Hospice & Palliative Care, Inc
• Jessica Manning
• Aline Manouguian
• Anahit Ani Manoukian
• Maneli Masoumeh Mansoori, M.D.

• Ophthalmology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.