Stephanie J Mandelman, M D

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A68965 Issued in CA

Practice address

1250 La Venta Dr
Suite 101B
Westlake Village, CA 91361-3702

Phone

(805) 496-0880

Fax

(805) 496-6670

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie J Mandelman Former 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

Obstetrics/Gynecology

Education

R Franklin University of Med & Sci/Chicago Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
• UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBGACA/Endpoint/BBGACA

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.

• Stephanie J Mandelman M D Inc

  • Obstetrics & Gynecology Physician
  • Westlake Village, CA
  • NPI 1467744466
  Medicare reassignment NPD Authorized official
• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1801653969
  Care Compare affiliation
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1851315196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "101B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-496-0880",
            "fax_number": "805-496-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR",
            "address_2": "SUITE 101B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613702",
            "telephone_number": "805-496-0880",
            "fax_number": "805-496-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELMAN",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A68965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A68965",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MANDELMAN",
            "middle_name": "J",
            "credential": "M D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gracie Malone
• Daniel Jacob Mamroth
• Timothy J. Manchin, D.C.
• Rosa Mancia
• Susan R. Mandel, LMFT
• Sarabjit Mangat, PSY.D
• Piyada Tanya Mannino, PHARM.D.
• Kacie Marczuk, BA
• Jill Ann Marder-Meyer, O.T.R./L.
• Toni Lynn Marderian, PT

• Obstetrics & Gynecology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.