PATRICK MINGLEDORFF DO
NPI 1629636154
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Q: What is Patrick Mingledorff's NPI number?

The NPI number for Patrick Mingledorff is 1629636154. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Q: What is Patrick Mingledorff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment

6200 WILSHIRE BLVD STE 1410, LOS ANGELES, CA 90048(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Jun 19, 2024, May 30, 2019 (3 updates tracked since 2019).

On this page

About Patrick Mingledorff Do NPPES

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

PATRICK MINGLEDORFF DO (NPI 1629636154) is an individual psychiatry provider in Los Angeles, California, licensed in California (20A22859) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Erie, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629636154

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePATRICK MINGLEDORFFCredential: DO

Location Address6200 WILSHIRE BLVD STE 1410Los Angeles, CA 90048-5815

Mailing Address6200 Wilshire Blvd Ste 1410Los Angeles, CA 90048-5815 · (925) 282-1778 · Fax (415) 296-5299

Phone(925) 282-1778

Fax(415) 296-5299

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 30, 2019

Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1629636154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A22859

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OT019117 (PA)

6200 WILSHIRE BLVD STE 1410, Los Angeles, CA 90048

Open in Google Maps ↗

Secondary Practice Location 1

Location 15515 Peach StErie, PA 16509-2603 · Phone (814) 868-8294

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Mingledorff Do 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.

PECOS PAC ID9739627639

PECOS Enrollment IDI20240809001998

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RUFINA SANDOVAL LCSW

Social Worker (Clinical)