MAMIE MUKUNDI MANDELA NURSE PRACTITIONER
NPI 1831661370
Nurse Practitioner - Primary Care in Carson, CA

Q: What is Mamie Mandela's NPI number?

The NPI number for Mamie Mandela is 1831661370. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Q: What is Mamie Mandela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mamie Mandela was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 21, 2018

1413 E 218TH ST, CARSON, CA 90745(310) 702-5392(310) 518-2585 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2019, Jan 17, 2019, Dec 21, 2018 (3 updates tracked since 2018).

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About Mamie Mukundi Mandela Nurse Practitioner NPPES

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

MAMIE MUKUNDI MANDELA NURSE PRACTITIONER (NPI 1831661370) is an individual primary care provider in Carson, California, licensed in California (95010871) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1831661370

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMAMIE MUKUNDI MANDELACredential: NURSE PRACTITIONER

Location Address1413 E 218TH STCarson, CA 90745-2402

Mailing Address1413 E 218th StCarson, CA 90745-2402 · (310) 702-5392 · Fax (310) 518-2585

Phone(310) 702-5392

Fax(310) 518-2585

Sole ProprietorYes

Enumeration DateDecember 21, 2018

Last NPPES UpdateJune 14, 20193 updates tracked since enumeration

✔ NPI 1831661370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95010871

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95010871 (CA)

1413 E 218TH ST, Carson, CA 90745

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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 Mamie Mandela's NPI number?

The NPI number for Mamie Mandela is 1831661370. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Mamie Mandela located?

Mamie Mandela practices at 1413 E 218th St, Carson, CA 90745. The listed phone number is (310) 702-5392.

What is Mamie Mandela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mamie Mandela was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.