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NEIL BRIAN MANSDORF D.P.M. NPI 1295766475


NPI Information

NPI: 1295766475
Provider Name: NEIL BRIAN MANSDORF, D.P.M.
Classification: Podiatrist - 213ES0000X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
555 N TUSTIN ST
ORANGE, CA
ZIP 92867
Phone: (714) 633-0040
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Neil Brian Mansdorf, D.P.M. is a sports medicine podiatrist in Orange, CA with 27 years of experience. Neil Brian Mansdorf, D.P.M. NPI is 1295766475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

555 N TUSTIN ST
ORANGE, CA
ZIP 92867-611
Phone: (714) 633-0040
Fax: (714) 633-0045

The NPI 1295766475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryE4222CALIFORNIANo
2213ES0000XPodiatristSports MedicineE4222CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U78898MEDICARE UPINCALIFORNIA
23949430001MEDICARE NSCCALIFORNIA
3E4222MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4E4222MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.