IndividualActive
Benjamin Mandac, MD
NPI 1427014190 · Pediatric Rehabilitation Medicine Physician · Santa Clara, CA
Provider details
- NPI number
- 1427014190
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G55790 (CA)
Mailing address
1558 Guadalajara Dr
San Jose, CA 95120-4814
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.