Active NPI
Prime Link Medical Specialty Group Inc.
- Urgent Care Clinic/Center
- Hawaiian Gardens, CA
National Provider Identifier
1861338840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PRIME LINK MEDICAL SPECIALTY GROUP INC.
- Practice address
- 21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605 - Phone
- (562) 860-2442
- Fax
- (562) 584-9015
- NPI assigned
- Apr 24, 2026
- Last updated
- Apr 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leebella Mandap, NP-C
- Title
- Secretary
- Phone
- (916) 897-7321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605
Mailing address
21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605
Phone (562) 860-2442
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cathedral City, CA
- NPI 1629477344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1861338840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21500 PIONEER BLVD STE 209",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907162605",
"telephone_number": "562-860-2442",
"fax_number": "562-584-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21500 PIONEER BLVD STE 209",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907162605",
"telephone_number": "562-860-2442",
"fax_number": "562-584-9015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME LINK MEDICAL SPECIALTY GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "MANDAP",
"authorized_official_first_name": "LEEBELLA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "916-897-7321",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawaiian Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.