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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Alliance For Wellness, Inc.
7.9 mi
Psychiatry
501 E HARDY ST STE 425
Inglewood, CA 90301
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1124329131 (747) 998-0387

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

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)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MR. ROBERT JAMES FITZGERALD LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MS. KARLA ANN BARNETT LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
AMAUNI PAULA BAKER LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MICHAEL C KANG MD
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
JERRELL LEE MITCHELL DO
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
DR. BRIAN CID CHAO PSYD
Psychologist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MIRIAM STONE LCSW
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (424) 284-2440

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 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.

Where is Patrick Mingledorff located?

Patrick Mingledorff practices at 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048. The listed phone number is (925) 282-1778.

What is Patrick Mingledorff's specialty?

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

Is Patrick Mingledorff enrolled in Medicare?

Yes. Patrick Mingledorff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Patrick Mingledorff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Mingledorff reassigns Medicare benefits to Alliance For Wellness, Inc. (Inglewood, 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 Patrick Mingledorff'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 Patrick Mingledorff was last updated on July 26, 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.