DR. JUSSEIN RIGOR MANGONDATO M.D.
NPI 1306957279
Pediatrics in Stockton, CA

NPI Status: Active since August 31, 2006

Contact Information

701 E CHANNEL ST
STOCKTON, CA
ZIP 95202
Phone: (209) 944-4700

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  • Individual
  • Male
  • Pediatrics
  • Medicare Quality Reporting

About JUSSEIN MANGONDATO

This page provides the complete NPI Profile along with additional information for Jussein Mangondato, a pediatrician established in Stockton, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1306957279 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number A82555 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1306957279
Provider Name
DR. JUSSEIN RIGOR MANGONDATO M.D.
Gender
Male
Entity Type
Individual
Location Address
701 E CHANNEL ST STOCKTON, CA 95202
Location Phone
(209) 944-4700
Mailing Address
PO BOX 779 STOCKTON, CA 95201
Mailing Phone
(209) 373-2800
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
01-30-2012
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A pediatrician like Jussein Mangondato is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
A82555
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0071200MEDICAID (05)CA 

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 32% 363
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Electronic submission of Patient Centered Medical Home accreditationYesN/A
I attest that I am a Patient Centered Medical Home (PCMH) or Comparable Specialty Practice that has achieved certification from a national program, regional or state program, private payer, or other body that administers patient-centered medical home accreditation and should receive full credit for the Improvement Activities performance category.
e-Prescribing 98% 1549
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 2% 466
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 86% 300
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 96% 1546
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Influenza Immunization 68% 713
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 44% 324
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Provide Patient Access 55% 1547
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 40% 1547
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Syndromic Surveillance ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306957279, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 8 + 5 + 1 + 4 + 2 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1306957279.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
Physician Assistant
701 E CHANNEL ST
STOCKTON, CA 95202
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
Nurse Practitioner
701 E CHANNEL ST
STOCKTON, CA 95202
Family Medicine
701 E CHANNEL ST
STOCKTON, CA 95202
Family Medicine
701 E CHANNEL ST, CHANNEL MEDICAL CENTER
STOCKTON, CA 95202
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
Nurse Practitioner
701 E CHANNEL ST
STOCKTON, CA 95202
Internal Medicine
701 E CHANNEL ST
STOCKTON, CA 95202
Physician Assistant
701 E CHANNEL ST
STOCKTON, CA 95202
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
Physician Assistant
701 E CHANNEL ST
STOCKTON, CA 95202
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
Nurse Practitioner (Family)
701 E CHANNEL ST
STOCKTON, CA 95202
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
Dietitian, Registered
701 E CHANNEL ST
STOCKTON, CA 95202
Registered Nurse
701 E CHANNEL ST
STOCKTON, CA 95202
Nurse Practitioner (Family)
701 E CHANNEL ST
STOCKTON, CA 95202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306957279, enumerated as an "individual" on August 31, 2006.

The provider is located at 701 E CHANNEL ST STOCKTON, CA 95202 and the phone number is (209) 944-4700.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.