JENNIFER WAHIDA MANDHAI FNP
NPI 1134686207
Nurse Practitioner - Family in Orange, CA

Q: What is Jennifer Mandhai's NPI number?

The NPI number for Jennifer Mandhai is 1134686207. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Jennifer Mandhai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mandhai was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 26, 2019PECOS EnrolledAccepts Medicare Assignment

2592 N SANTIAGO BLVD, ORANGE, CA 92867(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2023, Feb 26, 2019 (2 updates tracked since 2019).

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About Jennifer Wahida Mandhai Fnp NPPES

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

JENNIFER WAHIDA MANDHAI FNP (NPI 1134686207) is an individual family provider in Orange, California, licensed in California (95025184) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2016).

NPPES Registry Identity

NPI1134686207

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER WAHIDA MANDHAICredential: FNP

Location Address2592 N SANTIAGO BLVDOrange, CA 92867-1862

Mailing Address2592 N Santiago BlvdOrange, CA 92867-1862 · (855) 434-7763 · Fax (949) 281-5550

Phone(855) 434-7763

Fax(949) 281-5550

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2016

Enumeration DateFebruary 26, 2019

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1134686207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95025184✔ Licensed in GA · RN272472

2592 N SANTIAGO BLVD, Orange, CA 92867

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Wahida Mandhai Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456771062

PECOS Enrollment IDI20231110001214

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 Reassignments

Medicare enrollment records show Jennifer Mandhai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Zaghi Medical Inc

34 mi

Internal Medicine

5665 WILSHIRE BLVD # 1609
Los Angeles, CA 90036

Reassigned Medicare billing, California enrollment
24 clinicians in this Medicare group

NPI 1346942133 (424) 600-8360

Cedars-Sinai Medical Care Foundation

35 mi

Specialist

6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048

Reassigned Medicare billing, California enrollment
2,118 clinicians in this Medicare group

NPI 1316984388 (310) 385-3200

Peachtree Immediate Care Fp, LLC

1,893 mi

Family Medicine

3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141

Reassigned Medicare billing, Georgia enrollment
551 clinicians in this Medicare group

NPI 1437194156 (770) 222-8900

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

231 services81 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

137 services63 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

113 services42 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

106 services61 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

57 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92867 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 20

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

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