BENJAMIN REYES MANDAC MD
NPI 1427014190
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Santa Clara, CA
NPI Status: Active since April 21, 2006
Contact Information
710 LAWRENCE EXPY
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-5000
- Individual
- Male
- Physical Medicine & Rehabilitation
- Pediatric Rehabilitation Medicine
- PECOS Enrolled
About BENJAMIN MANDAC
This page provides the complete NPI Profile along with additional information for Benjamin Mandac, a provider established in Santa Clara, California with a medical specialization in Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1427014190 assigned on April 2006. The practitioner's primary taxonomy code is 2081P0010X with license number G55790 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1427014190
- Provider Name
- BENJAMIN REYES MANDAC MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 710 LAWRENCE EXPY SANTA CLARA, CA 95051
- Location Phone
- (408) 851-5000
- Mailing Address
- 1558 GUADALAJARA DR SAN JOSE, CA 95120
- Mailing Phone
- (408) 833-5129
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-21-2006
- Last Update Date
- 08-15-2024
- Code Navigator
Location Map
Secondary Locations
- 6840 Del Oro Suite 220
San Jose, CA 95119
(408) 284-2280
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
Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine
- Taxonomy Code
- 2081P0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G55790
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | G55790 (CA) |
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 |
|---|---|---|---|
| 00G557900 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Benjamin Mandac is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 1427014190, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427014190, enumerated as an "individual" on April 21, 2006.
The provider is located at 710 LAWRENCE EXPY SANTA CLARA, CA 95051 and the phone number is (408) 851-5000.
Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
