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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Sujal Mandavia reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carbon Health Medical Group Of California PC
Urgent Care
600 E COLORADO BLVD # 120
Pasadena, CA 91101
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1255957205 (415) 200-2133
Carbon Health Medical Group Of Florida PA
Urgent Care
4173 WORTH AVE # K105
Columbus, OH 43219
  • Reassigned Medicare billing, Ohio and Washington enrollments
  • Also billed through NPI 1689249096 (Washington)
  • 29 clinicians in this Medicare group
NPI 1295316602 (844) 234-7741
Chase Dennis Emergency Medical Group Inc
Emergency Medicine
1165 MONTGOMERY DR
Santa Rosa, CA 95405
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1033152350 (925) 924-1600
Hollywood Presbyterian Emergency Medical Associates, Inc.
Emergency Medicine
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group
NPI 1972826931 (310) 321-0143
Quantum Healthcare Medical Associates Inc.
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group
NPI 1568490597 (909) 580-1000
Ridgecrest Regional Hospital
Critical Access
1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
NPI 1447253125 (760) 446-3551
Sierra ER Department Physicians Medical Group Inc.
Emergency Medicine
1800 SPRING RIDGE DR
Susanville, CA 96130
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1033570247 (530) 257-5325
Solano Gateway Medical Group Inc
Emergency Medicine
1200 B GALE WILSON BLVD
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1952344293 (925) 924-1600

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 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.

Which organizations bill Medicare for Sujal Mandavia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujal Mandavia reassigns Medicare benefits to 8 organizations: Carbon Health Medical Group Of California PC (Pasadena, CA), Carbon Health Medical Group Of Florida PA (Columbus, OH), Chase Dennis Emergency Medical Group Inc (Santa Rosa, CA), Hollywood Presbyterian Emergency Medical Associates, Inc. (Los Angeles, CA), Quantum Healthcare Medical Associates Inc. (Colton, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Sujal Mandavia'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 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 13 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.