Active NPI
Gilbert L. Mandell, M.D.
- Hematology & Oncology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G44638
- Practice address
- 2279 45TH Street
Sacramento, CA 95817-2229 - Phone
- (916) 734-5959
- Fax
- (916) 703-5265
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G44638 | CA | Primary |
Addresses
Primary practice location
2279 45TH Street
Sacramento, CA 95817-2229
Mailing address
4501 X St
Suite 3016
Sacramento, CA 95817-2229
Phone (916) 734-3772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G446380 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44638 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
3850 G St
Merced, CA 95340
Phone (209) 384-6528
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
4501 X St
Sacramento, CA 95817
Phone (916) 734-5959
2279 45th St
Sacramento, CA 95817
Phone (916) 734-5959
4501 X St
Ste 3016
Sacramento, CA 95817
Phone (916) 734-3771
Organizations & group practices 2
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.
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- NPI 1477546406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1720166465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 X ST",
"address_2": "SUITE 3016",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172229",
"telephone_number": "916-734-3772",
"fax_number": "916-734-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 45TH STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172229",
"telephone_number": "916-734-5959",
"fax_number": "916-703-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDELL",
"first_name": "GILBERT",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G44638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G446380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.