Dr Stephen Lodovico Mandaro, MD is a
Preventive Medicine - Occupational Medicine physician based in Fair Oaks, California. Dr Stephen Lodovico Mandaro is licensed to practice in California (license number G50320) and his current practice location is 8139 Sunset Ave, Suite 242, Fair Oaks, California. He can be reached at his office (for appointments etc.) via phone at
(916) 209-8505.
NPI number for Dr Stephen Lodovico Mandaro is 1225369051 and his current mailing address is 8139 Sunset Ave, Suite 242, Fair Oaks, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225369051.
Physician's Profile
| Full Name | Dr Stephen Lodovico Mandaro |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 8139 Sunset Ave, Fair Oaks, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225369051
- Provider Enumeration Date: 01/18/2010
- Last Update Date: 01/18/2010
Medical Identifiers
Medical identifiers for Dr Stephen Lodovico Mandaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225369051 | NPI | - | NPPES |
| 7664031 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | G50320 (California) | Primary |
| 208D00000X | General Practice | G50320 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen Lodovico Mandaro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephen Lodovico Mandaro, MD
8139 Sunset Ave, Suite 242,
Fair Oaks, CA 95628-5131
Ph: (916) 209-8505 | Dr Stephen Lodovico Mandaro, MD
8139 Sunset Ave, Suite 242,
Fair Oaks, CA 95628-5131
Ph: (916) 209-8505 |
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