Veena Mandava, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A129908 Issued in CA

Practice address

12602 Amargosa Rd Ste F
Victorville, CA 92392-7640

Phone

(760) 561-5000

Fax

(760) 947-5619

NPI assigned

Apr 21, 2009

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

Other names 1

• Dr. Veena Mandava Rathod Other name

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

Diagnostic Radiology

Education

JS Weill Medical College, Cornell University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Radiology Associates IncGroup PAC ID 0840630208, 16 clinicians

IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• IHS Radiology Medical Group, Inc.

  dba Imaging Healthcare Specialists

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1497148456
  Medicare reassignment Care Compare group NPD
• North County Radiology Associates Inc

  • Vascular & Interventional Radiology Physician
  • Escondido, CA
  • NPI 1417723024
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927

  Body Imaging

  Medicare reassignment NPD
• San Diego Diagnostic Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Coronado, CA
  • NPI 1417988221

  Body Imaging

  Medicare reassignment NPD
• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812
  Medicare reassignment
• Beverly Radiology Medical Group III

  dba Elite Advanced Imaging

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1114112372
  NPD
• San Diego Diagnostic Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1205867017

  Body Imaging

  NPD
• San Diego Diagnostic Radiology Medical Group, Inc.

  dba San Diego Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1629156583

  Body Imaging

  NPD
• Physicians Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1891741831
  NPD (past)
• Medical Scanning Consultants PA

  dba RAYUS Radiology

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD (past)

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

• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1831333913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CENTER STREET PROMENADE STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053960",
            "telephone_number": "714-449-4841",
            "fax_number": "714-937-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 AMARGOSA RD STE F",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927640",
            "telephone_number": "760-561-5000",
            "fax_number": "760-947-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11811 NE 128th St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980347200",
            "country_code": "US",
            "telephone_number": "425-821-3472",
            "fax_number": "425-820-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD60546513",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A129908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEENA",
            "last_name": "RATHOD",
            "middle_name": "MANDAVA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Diagnostic Radiology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.