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LULUA MANDVIWALA MD
NPI 1780094300
Pediatrics in Bakersfield, CA

Active since May 05, 2014PECOS Enrolled
1111 COLUMBUS ST, BAKERSFIELD, CA 93305(661) 326-2800(661) 326-6523 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lulua Mandviwala Md NPPES

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

LULUA MANDVIWALA MD (NPI 1780094300) is an individual pediatrics provider in Bakersfield, California, licensed in California (A132037) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780094300
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLULUA MANDVIWALACredential: MD
Location Address1111 COLUMBUS STBakersfield, CA 93305
Mailing Address1111 Columbus StBakersfield, CA 93305-1936 · (661) 326-2800 · Fax (661) 326-6523
Phone(661) 326-2800
Fax(661) 326-6523
Sole ProprietorYes
Enumeration DateMay 5, 2014
Last NPPES UpdateJuly 24, 2018
✔ NPI 1780094300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A132037
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1111 COLUMBUS ST, Bakersfield, CA 93305
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Other Names 1

Former Name (1)Lulua Rafiq

Secondary Practice Locations 2

Location 19900 Stockdale Hwy Ste 207Bakersfield, CA 93311-3634 · Phone (661) 663-3110
Location 21700 Mount Vernon AveBakersfield, CA 93306-4018 · Phone (661) 326-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lulua Mandviwala 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 Lulua Mandviwala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kern County Hospital Authority
Same address
Federally Qualified Health Center (FQHC)
1111 COLUMBUS ST STE 3000
Bakersfield, CA 93305
  • Reassigned Medicare billing, California enrollment
  • 532 clinicians in this Medicare group
NPI 1003612565 (661) 664-2200

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 93305 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
Most-billed visit code 99214
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.

DR. MARIA KAREENA PEREZ ESPEJO M.D.
Family Medicine
1111 COLUMBUS ST, SUITE 1200
BAKERSFIELD, CA 93305
Kern County (661) 326-5052
COUNTY OF KERN
Home Health
1111 COLUMBUS ST, SUITE 2000
BAKERSFIELD, CA 93305
Kern County (661) 326-6545
DANA CHRISTINE MITCHELL APRN
Nurse Practitioner
1111 COLUMBUS ST
BAKERSFIELD, CA 93305
Kern County (661) 326-2800
DR. FIDEL BERNARD HUERTA
Family Medicine
1111 COLUMBUS ST
BAKERSFIELD, CA 93305
Kern County (661) 326-5052
MS. DEBRA IETTA MARTIN MFT INTERN
Counselor (Mental Health)
1111 COLUMBUS ST, SUITE 3000
BAKERSFIELD, CA 93305
Kern County (661) 868-8300
MS. BILLIE JO STONE MFT I
Case Manager/Care Coordinator
1111 COLUMBUS ST, STE 3000
BAKERSFIELD, CA 93305
Kern County (661) 868-8300
GUADALUPE CHAVEZ
Nurse Practitioner (Family)
1111 COLUMBUS ST
BAKERSFIELD, CA 93305
Kern County (661) 619-3476
DR. JOSE M JOTA MD
Family Medicine
1111 COLUMBUS ST
BAKERSFIELD, CA 93305
Kern County (661) 326-5092

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 Lulua Mandviwala's NPI number?

The NPI number for Lulua Mandviwala is 1780094300. It was assigned to this individual provider in the NPPES registry on May 5, 2014. The provider is also known as Lulua Rafiq.

Where is Lulua Mandviwala located?

Lulua Mandviwala practices at 1111 Columbus St, Bakersfield, CA 93305. The listed phone number is (661) 326-2800.

What is Lulua Mandviwala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lulua Mandviwala enrolled in Medicare?

Yes. Lulua Mandviwala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lulua Mandviwala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lulua Mandviwala reassigns Medicare benefits to Kern County Hospital Authority (Bakersfield, 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 Lulua Mandviwala'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 Lulua Mandviwala was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.