MR. MICHAEL WILLIAM MANDEL
NPI 1790924074
Substance Abuse Rehabilitation Facility in Fremont, CA

Q: What is Michael Mandel's NPI number?

The NPI number for Michael Mandel is 1790924074. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Q: What is Michael Mandel's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mandel was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 February 11, 2009

4510 PERALTA BLVD STE 1, FREMONT, CA 94536(510) 713-3202(510) 713-0684 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael William Mandel NPPES

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

MR. MICHAEL WILLIAM MANDEL (NPI 1790924074) is an individual substance abuse rehabilitation facility provider in Fremont, California, licensed in California (010010AN) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1790924074

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameMR. MICHAEL WILLIAM MANDEL

Location Address4510 PERALTA BLVD STE 1Fremont, CA 94536-5755

Mailing Address4510 Peralta Blvd Ste 1Fremont, CA 94536-5755 · (510) 713-3202 · Fax (510) 713-0684

Phone(510) 713-3202

Fax(510) 713-0684

Sole ProprietorYes

Enumeration DateFebruary 11, 2009

✔ NPI 1790924074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 010010AN

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4510 PERALTA BLVD STE 1, Fremont, CA 94536

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS WILLARD TARKINGTON JR.

Counselor

4510 PERALTA BLVD STE 1
FREMONT, CA 94536

Alameda County (510) 713-3202

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 Michael Mandel's NPI number?

The NPI number for Michael Mandel is 1790924074. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Michael Mandel located?

Michael Mandel practices at 4510 Peralta Blvd Ste 1, Fremont, CA 94536. The listed phone number is (510) 713-3202.

What is Michael Mandel's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Michael Mandel was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.