Individual provider Active NPI

Nalini Devi Mattai, MD

  • General Practice Physician
  • Pasadena, CA
National Provider Identifier
1982803052
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G83956 Issued in CA
Practice address
301 S Fair Oaks Ave Ste 405
Pasadena, CA 91105-2562
Phone
(626) 792-1912
Fax
(626) 792-1960
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G83956 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave Ste 405
Pasadena, CA 91105-2562

Mailing address

301 S Fair Oaks Ave Ste 405
Pasadena, CA 91105-2562
Phone (626) 792-1912

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
I20050324000256 CA Practitioner - Family Practice 4284680166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pasadena Family Medicine IncGroup PAC ID 0244286128, 2 clinicians

Practice addresses (Care Compare)

50 Bellefontaine St
Pasadena, CA 91105-3132

Hospital & facility affiliations

  • Pegasus Home Health Care, Inc. Home health agency, Glendale, CA, CCN 557479
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83956CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Family Medicine Inc. CurrentSince Jan 1, 1990 Accepting new patients
Pasadena Family Medicine Inc General Practice CurrentSince Sep 1, 2004 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

50 Bellefontaine St
Ste 403
Pasadena, CA 91105
Phone (408) 372-8380

301 S Fair Oaks Ave
Ste 405
Pasadena, CA 91105
Phone (626) 440-7325

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nalini.mattai.p76@direct.healthcarepartners.nextgenshare.com

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 3

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1982803052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-792-1912",
            "fax_number": "626-792-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-792-1912",
            "fax_number": "626-792-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAI",
        "first_name": "NALINI",
        "middle_name": "DEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G83956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.