BENJAMIN REYES MANDAC MD
NPI 1427014190
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Santa Clara, CA

Q: What is Benjamin Mandac's NPI number?

The NPI number for Benjamin Mandac is 1427014190. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Benjamin Mandac's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Mandac was last updated on August 15, 2024. 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 April 21, 2006PECOS Enrolled

710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-5000 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, Feb 11, 2022 (2 updates tracked since 2022).

On this page

About Benjamin Reyes Mandac Md NPPES

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

BENJAMIN REYES MANDAC MD (NPI 1427014190) is an individual pediatric rehabilitation medicine provider in Santa Clara, California, licensed in California (G55790) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1427014190

Entity TypeIndividualMale

Primary Taxonomy2081P0010X

Provider Legal NameBENJAMIN REYES MANDACCredential: MD

Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173

Mailing Address1558 Guadalajara DrSan Jose, CA 95120-4814 · (408) 833-5129

Phone(408) 851-5000

Sole ProprietorYes

Enumeration DateApril 21, 2006

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1427014190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in CA · G55790

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPediatricsTaxonomy 208000000X · License G55790 (CA)

710 LAWRENCE EXPY, Santa Clara, CA 95051

Open in Google Maps ↗

Secondary Practice Location 1

Location 16840 Del Oro Suite 220San Jose, CA 95119 · Phone (408) 284-2280

Other Identifiers 1

Medicaid00G557900CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Reyes Mandac 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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Mandac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

0.1 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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

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.

MRS. SHARLENE JUNIO MADANES N.P.

Nurse Practitioner (Family)

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-3829

ELLEN CHINCHILLI MD

Student in an Organized Health Care Education/Training Program

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-3817

SWARNA L KONERU RD

Dietitian, Registered

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-1000

MRS. BRIDGET M. BOUYSSOUNOUSE P.T.

Physical Therapist

710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051

Santa Clara County (408) 851-1466

FLAIR D. GOLDMAN DPM

Podiatrist

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 236-6400

MR. KRISNA P CHAI M.D.

Internal Medicine (Gastroenterology)

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-1000

KARISSA TAAN MPT

Physical Therapist

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-1492

ANDREA B. HUTCHINSON MD

Obstetrics & Gynecology

710 LAWRENCE EXPY
SANTA CLARA, CA 95051

Santa Clara County (408) 851-1000

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 Benjamin Mandac's NPI number?

The NPI number for Benjamin Mandac is 1427014190. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Benjamin Mandac located?

Benjamin Mandac practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-5000.

What is Benjamin Mandac's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Benjamin Mandac enrolled in Medicare?

Yes. Benjamin Mandac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Mandac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Mandac reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Benjamin Mandac'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 Benjamin Mandac was last updated on August 15, 2024. 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.