Alastair Tabunda Mondala, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A119530 Issued in CA

Practice address

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973

Phone

(650) 826-2945

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Geriatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Health Care of Sacramento Nursing home, Sacramento, CA, CCN 555913
• University Retirement Community at Davis Nursing home, Davis, CA, CCN 555769
• Courtyard Health Care Center Nursing home, Davis, CA, CCN 055922

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amondala@landmarkhealth-direct.org
• Direct secure messaging: amondala230966@hisp.ehr.sutterhealth.org

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.

• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952327256

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahc Healthcare of Sacramento LLC

  • Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1114439262

  Nursing home

  Care Compare affiliation
• University Retirement Community at Davis, Inc

  • Skilled Nursing Facility
  • Davis, CA
  • NPI 1609876234

  Nursing home

  Care Compare affiliation
• West Court Lane Healthcare, Inc.

  • Skilled Nursing Facility
  • Davis, CA
  • NPI 1215759865

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1659545770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DRIVE",
            "address_2": "PHYSICIAN SUPPORT SERVICES",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OYSTER POINT BLVD STE 512",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801973",
            "telephone_number": "650-826-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Wymark Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "95757",
            "country_code": "US",
            "telephone_number": "916-667-0600",
            "fax_number": "916-683-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDALA",
        "first_name": "ALASTAIR",
        "middle_name": "TABUNDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A119530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT193287",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A119530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sze-Cheung Mo, PHARM.D.
• Karrina Mock, CRNA
• Dasarahally Mohan, MD
• Neelima Archana Mohan, MD
• Arturo Molina, M.D.
• Monogram Biosciences, Inc
• Monogram Biosciences, Inc
• Ricardo Montanez
• Rafael Montijo, RRT-NPS
• Christopher Moo, PHARM.D.

• Geriatric Medicine (Family Medicine) Physician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.