AMANDEEP K MANDAHAR
NPI 1265218093
Nurse Practitioner - Family in Modesto, CA
About Amandeep K Mandahar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDEEP K MANDAHAR (NPI 1265218093) is an individual family provider in Modesto, California, licensed in California (95027019) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Amandeep K Mandahar 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.
Medicare Billing Reassignment
Medicare enrollment records show Amandeep Mandahar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Visalia, CA 93277
- Reassigned Medicare billing, California enrollment
- 30 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amandeep Mandahar's NPI number?
The NPI number for Amandeep Mandahar is 1265218093. It was assigned to this individual provider in the NPPES registry on September 7, 2023.
Where is Amandeep Mandahar located?
Amandeep Mandahar practices at 4345 Focus Ln, Modesto, CA 95356. The listed phone number is (209) 422-0968.
What is Amandeep Mandahar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amandeep Mandahar enrolled in Medicare?
Yes. Amandeep Mandahar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amandeep Mandahar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amandeep Mandahar reassigns Medicare benefits to Pain Clinics Of Central California, Inc. (Visalia, 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 Amandeep Mandahar'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 Amandeep Mandahar was last updated on September 7, 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.
# Amandeep K Mandahar · NPI 1265218093
Family physician in Modesto, California. Individual provider, active in the CMS NPPES registry since September 7, 2023.
## Identity
- **NPI:** 1265218093 (Entity type: Individual)
- **Enumerated:** September 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95027019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4345 FOCUS LN, Modesto, CA 95356-9052
- **Phone:** (209) 422-0968
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pain Clinics Of Central California, Inc. (NPI 1861060733, Visalia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 7, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1265218093) · Data from the CMS NPPES public registry.