AVA D MANDELBAUM MD
NPI 1184425159
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Ava Mandelbaum's NPI number?

The NPI number for Ava Mandelbaum is 1184425159. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Ava Mandelbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ava Mandelbaum was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2025PECOS Enrolled

10833 LE CONTE AVE # CHSB2049, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ava D Mandelbaum Md NPPES

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

AVA D MANDELBAUM MD (NPI 1184425159) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184425159

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAVA D MANDELBAUMCredential: MD

Location Address10833 LE CONTE AVE # CHSB2049Los Angeles, CA 90095-3075

Mailing Address10833 Le Conte Ave # Chsb2049Los Angeles, CA 90095-3075 · (310) 825-9111

Phone(310) 825-9111

Sole ProprietorNo

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1184425159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10833 LE CONTE AVE # CHSB2049, Los Angeles, CA 90095

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava D Mandelbaum Md 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.