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AISHAH MANDEEL NURSE PRACTITIONER
NPI 1063977270
Nurse Practitioner - Pediatrics in Tustin, CA

Active since February 01, 2019PECOS Enrolled
14971 HOLT AVE, TUSTIN, CA 92780(949) 356-7676 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2023, Feb 22, 2019, Feb 1, 2019 (3 updates tracked since 2019).

About Aishah Mandeel Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AISHAH MANDEEL NURSE PRACTITIONER (NPI 1063977270) is an individual pediatrics provider in Tustin, California, licensed in California (95011055) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063977270
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAISHAH MANDEELCredential: NURSE PRACTITIONER
Location Address14971 HOLT AVETustin, CA 92780-3406
Mailing Address13446 Warren PlVictorville, CA 92395-8660
Phone(949) 356-7676
Sole ProprietorYes
Enumeration DateFebruary 1, 2019
Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1063977270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95011055
14971 HOLT AVE, Tustin, CA 92780
Open in Google Maps ↗

Other Identifiers 1

Other95011055CA · California Board Of Registered Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aishah Mandeel Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Aishah Mandeel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Medical Group, Inc
33 mi
Family Medicine
8110 MANGO AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1376876912 (909) 427-1303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BEENA KAZI M.D.
Emergency Medicine (Pediatric Emergency Medicine)
14971 HOLT AVE
TUSTIN, CA 92780
Orange County (949) 356-7676
MICHAEL RYAN KRAFFT MD
Pediatrics
14971 HOLT AVE
TUSTIN, CA 92780
Orange County (949) 356-7676
DR. ALEEN CHIN MD
Pediatrics
14971 HOLT AVE
TUSTIN, CA 92780
Orange County (949) 356-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aishah Mandeel's NPI number?

The NPI number for Aishah Mandeel is 1063977270. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Aishah Mandeel located?

Aishah Mandeel practices at 14971 Holt Ave, Tustin, CA 92780. The listed phone number is (949) 356-7676.

What is Aishah Mandeel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Aishah Mandeel enrolled in Medicare?

Yes. Aishah Mandeel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aishah Mandeel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aishah Mandeel reassigns Medicare benefits to Pinnacle Medical Group, Inc (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aishah Mandeel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Aishah Mandeel was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.