BENJAMIN REYES MANDAC MD
NPI 1427014190
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Santa Clara, CA
NPI Status: Active since April 21, 2006
Contact Information
710 LAWRENCE EXPY
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-5000
- Individual
- Male
- Physical Medicine & Rehabilitation
- Pediatric Rehabilitation Medicine
- PECOS Enrolled
About BENJAMIN MANDAC
This page provides the complete NPI Profile along with additional information for Benjamin Mandac, a provider established in Santa Clara, California with a medical specialization in Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1427014190 assigned on April 2006. The practitioner's primary taxonomy code is 2081P0010X with license number G55790 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1427014190
- Provider Name
- BENJAMIN REYES MANDAC MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 710 LAWRENCE EXPY SANTA CLARA, CA 95051
- Location Phone
- (408) 851-5000
- Mailing Address
- 1558 GUADALAJARA DR SAN JOSE, CA 95120
- Mailing Phone
- (408) 833-5129
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-21-2006
- Last Update Date
- 08-15-2024
- Code Navigator
Location Map
Secondary Locations
- 6840 Del Oro Suite 220
San Jose, CA 95119
(408) 284-2280
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine
- Taxonomy Code
- 2081P0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G55790
- License State
- CA
- Taxonomy Description
- A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | G55790 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G557900 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Benjamin Mandac is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 1 | 4 | 1 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 1 | 8 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 1 + 8 + 1 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1427014190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699771030 | LUCY SONG M.D. Individual | Internal Medicine (Hematology & Oncology) | 710 LAWRENCE EXPY ONCOLOGY DEPT #440 SANTA CLARA, CA 95051 (408) 851-4323 |
| 1245252543 | JOEL S. KORANSKY M.D. Individual | Dermatology | 710 LAWRENCE EXPY DEPT. 472 SANTA CLARA, CA 95051 (408) 851-4650 |
| 1174533905 | RACQUEL V CUA P.A.-C Individual | Physician Assistant | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-2300 |
| 1841300233 | MS. SHARON ANN CASTELLANOS WHNP, CNS Individual | Registered Nurse | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-3551 |
| 1164534418 | MS. LILY LU NP Individual | Nurse Practitioner | 710 LAWRENCE EXPY DEPT. 272 SANTA CLARA, CA 95051 (408) 851-1000 |
| 1881796464 | MS. TERRY YVONNE GARDNER FNP Individual | Nurse Practitioner (Women's Health) | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-3003 |
| 1225129877 | MS. MARGARET E. GINSBURG RNP Individual | Nurse Practitioner (Primary Care) | 710 LAWRENCE EXPY #272 SANTA CLARA, CA 95051 (408) 851-2038 |
| 1760574743 | CONNIE NGUYEN HA PHARM.D. Individual | Pharmacist | 710 LAWRENCE EXPY CLINICAL PHARMACY, M3453 SANTA CLARA, CA 95051 (408) 851-3938 |
| 1053404848 | DR. KATHY HANG PHAM PHARM.D. Individual | Pharmacist | 710 LAWRENCE EXPY CLINICAL PHARMACY SANTA CLARA, CA 95051 (408) 851-3427 |
| 1083701650 | JACQUELINE E TRAMMELL RN, NP Individual | Nurse Practitioner (Family) | 710 LAWRENCE EXPY DEPARTMENT 342 SANTA CLARA, CA 95051 (408) 851-3828 |
| 1710075585 | JENNIFER YU PHARM.D. Individual | Pharmacist | 710 LAWRENCE EXPY DEPARTMENT 460 SANTA CLARA, CA 95051 (408) 851-4554 |
| 1114016037 | JUDY IM PHARMD Individual | Pharmacist | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-9302 |
| 1770671844 | DR. LAWRENCE S TROXELL PHARM.D. Individual | Pharmacist | 710 LAWRENCE EXPY ROOM 3453 SANTA CLARA, CA 95051 (408) 851-3937 |
| 1770669202 | JENNIFER HAN MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-3751 |
| 1720165665 | SUSAN D. MACLEAN MD Individual | Internal Medicine | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-1000 |
| 1245317189 | MARK L. COHEN MD Individual | Pediatrics | 710 LAWRENCE EXPY #190 SANTA CLARA, CA 95051 (408) 851-1000 |
| 1760569610 | CHANDRIKA KAPADIA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-1000 |
| 1275610123 | PHILIP D. MILLER MD Individual | Obstetrics & Gynecology | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-1000 |
| 1992882849 | MARGARET F. TALBERT MD Individual | Internal Medicine | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-1000 |
| 1538246483 | NEAL B. FRAGER MD Individual | Obstetrics & Gynecology | 710 LAWRENCE EXPY SANTA CLARA, CA 95051 (408) 851-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427014190, enumerated in the NPI registry as an "individual" on April 21, 2006
The provider is located at 710 Lawrence Expy Santa Clara, Ca 95051 and the phone number is (408) 851-5000
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 2081P0010X with a focus in Pediatric Rehabilitation Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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