KETAMINE CLINICS OF LOS ANGELES
NPI 1366641722
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Ketamine Clinics Of Los Angeles NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETAMINE CLINICS OF LOS ANGELES (NPI 1366641722) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since July 2007. The organization lists Samuel H Mandel, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ketamine Clinics Of Los Angeles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Ketamine Clinics Of Los Angeles, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Steven L Mandel M D A Professional Corporation's NPI number?
The NPI number for Steven L Mandel M D A Professional Corporation is 1366641722. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is doing business as Ketamine Clinics Of Los Angeles.
Where is Steven L Mandel M D A Professional Corporation located?
Steven L Mandel M D A Professional Corporation is located at 6801 Park Ter Ste 525, Los Angeles, CA 90045. The listed phone number is (310) 270-0625.
What is Steven L Mandel M D A Professional Corporation's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Steven L Mandel M D A Professional Corporation enrolled in Medicare?
Yes. Steven L Mandel M D A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Steven L Mandel M D A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Steven L Mandel M D A Professional Corporation. A 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 the clinician's services. The largest specialties are Psychiatry (4) and Nurse Practitioner (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Steven L Mandel M D A Professional Corporation was last updated on February 21, 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.
# Ketamine Clinics Of Los Angeles · NPI 1366641722
Psychiatry organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since July 16, 2007.
## Identity
- **NPI:** 1366641722 (Entity type: Organization)
- **Enumerated:** July 16, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Steven L Mandel M D A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Samuel Mandel, COO
## Practice location
- **Address:** 6801 PARK TER STE 525, Los Angeles, CA 90045-1543
- **Phone:** (310) 270-0625 · **Fax:** (310) 730-5993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (4), Nurse Practitioner (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2023
- **Other identifiers:** Medicaid 00G286310 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366641722) · Data from the CMS NPPES public registry.