Mandalar Gastroenterology, Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MANDALAR GASTROENTEROLOGY, INC

Practice address

2100 Webster St Ste 115
San Francisco, CA 94115-2374

Phone

(415) 387-8800

Fax

(415) 387-5204

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Y Myint, MDNPI 1811359789

Title

President

Phone

(415) 387-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Ye Myint, M.D

  • Gastroenterology Physician
  • San Francisco, CA
  • NPI 1811359789

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1801591318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-387-8800",
            "fax_number": "415-387-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-387-8800",
            "fax_number": "415-387-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAR GASTROENTEROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MYINT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-387-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sarah Rosenfeld Mancuso
• Shravani Manda
• Janis Mandac-Dy, N.P.
• Divneet Mandair, MS
• Jennifer Robyn Mandal, M.D.
• Sarah M. Mandel, MD
• Bertie Mandelbaum
• Chelsea Mandile
• Aditi H. Mandpe, MD
• Gregory Mandrussow, MD

• Gastroenterology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.