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Physician Compare National (NPI:1285876854)

HEALTHCARE PROVIDER: SMITA DINESH MANDAL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1285876854
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0345419990
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110816000504
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MANDAL
Individual professional last name
Provider First Name SMITA
Individual professional first name
Provider Middle Name DINESH
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name INPATIENT SPECIALISTS OF CALIFORNIA PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3476864448
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 227
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1600 N ROSE AVE
Group Practice or individual's line 1 address
City OXNARD
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 930303722
Group Practice or individual's zip code (9 digits when available)
Phone Number 8059882500
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050549
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LOS ROBLES HOSPITAL & MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 050236
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ADVENTIST HEALTH SIMI VALLEY
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 050159
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 VENTURA COUNTY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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