Individual provider Active NPI

Mona Madani, M.D.

  • Family Medicine Physician
  • Redondo Beach, CA
National Provider Identifier
1891112223
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A171558 Issued in CA
Practice address
520 N Prospect Ave Ste 309
Redondo Beach, CA 90277-3043
Phone
(244) 374-7004
Fax
(424) 437-4700
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54031 AZ
Family Medicine Physician 207Q00000X A171558 CA Primary

Addresses

Primary practice location

520 N Prospect Ave Ste 309
Redondo Beach, CA 90277-3043

Mailing address

520 N Prospect Ave Ste 309
Redondo Beach, CA 90277-3043
Phone (424) 437-4700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211026000537 CA Practitioner - Family Practice 5991062960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Wallis Medical CorporationGroup PAC ID 4688065154, 2 clinicians

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 309
Redondo Beach, CA 90277-3043
Phone (424) 437-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171558CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
David Wallis Medical Corporation Family Medicine CurrentSince May 1, 2025 Accepting new patients
Torrance Memorial Medical Center PastSince Jun 1, 2022 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 200
El Segundo, CA 90245
Phone (310) 517-7030

705 Pier Ave
Ste A
Hermosa Beach, CA 90254
Phone (310) 257-7298

520 N Prospect Ave
Ste 309
Redondo Beach, CA 90277
Phone (310) 376-9492

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3701 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 378-2234

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1891112223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE STE 309",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773043",
            "telephone_number": "424-437-4700",
            "fax_number": "424-437-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE STE 309",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773043",
            "telephone_number": "244-374-7004",
            "fax_number": "424-437-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "MONA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A171558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.