William Mandrick, WILLIAM MANDRICK

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83686 Issued in CA

Practice address

17310 Ventura Blvd
Encino, CA 91316-3904

Phone

(818) 728-4260

NPI assigned

Nov 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• William Mandrick Professional 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

Ophthalmology

Education

University of California, Geffen School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.33 of 100Reported as group

Quality

26.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• William Mandrick, M.D., Inc.

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1124200506
  Medicare reassignment Authorized official
• Usc Verdugo Hills Hospital, LLC

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1265875207
  NPD (past)
• West Hills Hospital

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

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932270097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MANTON AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671336",
            "telephone_number": "818-716-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-728-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRICK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "WILLIAM MANDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "MANDRICK",
            "credential": "WILLIAM MANDRICK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Mamaliger
• Manage Kare Inc
• Management Health Systems
• Kelly Michele Manda, FNP
• Karen L. Mandel, M. S.
• Babak Manesh, DDS
• Mary McVey Manix, PSY.D/
• Monetta Manning
• Ali Manoochehrian, MD
• Meaghan Elizabeth Manos Ukra

• Ophthalmology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.