MANDY JO FACCINTO MD
NPI 1972136729
Dermatology in Los Angeles, CA
About Mandy Jo Faccinto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY JO FACCINTO MD (NPI 1972136729) is an individual dermatology provider in Los Angeles, California, licensed in California (A188006) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandy Jo Faccinto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mandy Faccinto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Mandy Faccinto's NPI number?
The NPI number for Mandy Faccinto is 1972136729. It was assigned to this individual provider in the NPPES registry on February 20, 2020.
Where is Mandy Faccinto located?
Mandy Faccinto practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (833) 574-2273.
What is Mandy Faccinto's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mandy Faccinto enrolled in Medicare?
Yes. Mandy Faccinto is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mandy Faccinto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Faccinto reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Mandy Faccinto'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 Mandy Faccinto was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Mandy Jo Faccinto, MD · NPI 1972136729
Dermatology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 20, 2020.
## Identity
- **NPI:** 1972136729 (Entity type: Individual)
- **Enumerated:** February 20, 2020
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A188006 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027-6021
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972136729) · Data from the CMS NPPES public registry.