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DR. SUJAL MANDAVIA M.D.
NPI 1992791164
Emergency Medicine - Emergency Medical Services in Los Angeles, CA

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
8700 BEVERLY BLVD., LOS ANGELES, CA 90048(310) 967-1884(310) 967-1744 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sujal Mandavia M.d. NPPES

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

DR. SUJAL MANDAVIA M.D. (NPI 1992791164) is an individual emergency medical services provider in Los Angeles, California, licensed in California (G79723) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1992791164
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. SUJAL MANDAVIACredential: M.D.
Location Address8700 BEVERLY BLVD.Los Angeles, CA 90048-1865
Mailing AddressPo Box 51258Los Angeles, CA 90051-5558 · (310) 967-1884 · Fax (310) 967-1744
Phone(310) 967-1884
Fax(310) 967-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 23, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1992791164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in CA · G79723
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License G79723 (CA)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sujal Mandavia M.d. 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 ID42204687
PECOS Enrollment IDI20040415000710
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.

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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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. TIFFANY HACKETT M.D.
Emergency Medicine (Emergency Medical Services)
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884
ELEANOR KING P.A.
Physician Assistant (Surgical)
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884
DR. DAVID MICHAEL FRANKLE M.D.
Emergency Medicine
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 423-8600
DR. STEPHEN W LIM M.D.
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884
DR. THEODORE KHALILI M.D.
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884
CEDARS-SINAI MEDICAL CENTER
General Acute Care Hospital
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884
DR. PEGGY B MILES M.D.
Internal Medicine
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 423-4683
DR. NING-AI LIU M.D.
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Los Angeles County (310) 967-1884

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 Sujal Mandavia's NPI number?

The NPI number for Sujal Mandavia is 1992791164. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Sujal Mandavia located?

Sujal Mandavia practices at 8700 Beverly Blvd., Los Angeles, CA 90048. The listed phone number is (310) 967-1884.

What is Sujal Mandavia's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Sujal Mandavia enrolled in Medicare?

Yes. Sujal Mandavia 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.

When was this NPI record last updated?

The NPPES record for Sujal Mandavia was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.