Active NPI
Mansi Mehta
- Physician Assistant
- Beverly Hills, CA
National Provider Identifier
1871041798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53070
- Practice address
- 9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137 - Phone
- (310) 278-9171
- NPI assigned
- Sep 20, 2016
- Last updated
- Sep 20, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53070 | CA | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137
Mailing address
9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137
Phone (310) 278-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53070 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinuclear Oregon PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1871041798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD STE 404",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106137",
"telephone_number": "310-278-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD STE 404",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106137",
"telephone_number": "310-278-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "MANSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.