Mamie Mukundi Mandela, NURSE PRACTITIONER
NPI 1831661370ActiveIndividual· Nurse Practitioner, Primary Care· Carson, CA
Nurse Practitioner, Primary Care (NURSE PRACTITIONER) in Carson, California, licensed in CA, with an NPI issued in December 2018.
Overview
| NPI | 1831661370 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2018 |
| Last updated in NPPES | Jun 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95010871 | CA |
| Nurse Practitioner | 363L00000X | 95010871 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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