MR. MICHAEL WILLIAM MANDEL (NPI# 1790924074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790924074 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM MANDEL |
| Practice Address |
4510 Peralta Blvd Ste 1 Fremont CA 94536-5755 |
| Practice Telephone | 5107133202 |
| Practice Fax Number | 5107130684 |
| Mailing Telephone | 5107133202 |
| Mailing Fax Number | 5107130684 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 010010AN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387564 | Michael Edward Mandel | Counselor | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2018-12-10 |
| 1003020546 | Michael Daniel Mandel | Pharmacist | 1601 Cherry St, Suite 1700, Philadelphia, PA 19102-1321 | 2007-05-10 |
| 1740406727 | Michael Mandel | Psychiatry & Neurology | 1821 Wilshire Blvd, Suite 625, Santa Monica, CA 90403-5618 | 2007-04-18 |
| 1245354620 | Michael R. Mandel | Psychiatry & Neurology | 4033 E Madison St, Seattle, WA 98112-3104 | 2007-03-19 |
| 1063465201 | Michael D. Mandel | Internal Medicine | 5855 Bremo Rd, Ste 403, Richmond, VA 23226-1930 | 2006-05-18 |
| 1861463564 | Michael Mandel | Internal Medicine | 2365 Boston Post Rd, Larchmont, NY 10538-3500 | 2006-01-30 |
| Street Address |
4510 PERALTA BLVD STE 1 |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346557790 | Thomas Willard Tarkington Jr. | Counselor | 4510 Peralta Blvd Ste 1, Fremont, CA 94536-5755 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780872127 | Carneles Unidos Reformando Adictos Incorporate | Substance Abuse Rehabilitation Facility | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2007-10-11 |
| 1497376735 | Great Lakes Recovery Center LLC | Substance Abuse Rehabilitation Facility | 825 June St, Fremont, OH 43420-3417 | 2020-04-28 |
| 1477924918 | Carnales Unidos Reformando Adictos | Substance Abuse Rehabilitation Facility | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2015-10-09 |
| 1972973907 | Carnales Unidos Reformandos Adictos | Substance Abuse Rehabilitation Facility | 37437 Glenmoor Dr, Fremont, CA 94536-5731 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.