Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sujal Mandavia, MD

Individual provider Emergency Medicine Physician · NPI 1992791164

Dr. Sujal Mandavia, MD is an Emergency Medicine in Los Angeles, California. Qualified in 1993, 33 years ago. Practices with Ridgecrest Regional Hospital, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8700 Beverly Blvd
Los Angeles, CA 90048-1865
Phone: (310) 967-1884
Fax: (310) 967-1744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence G79723 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence G79723 (CA)

Record details

NPI number1992791164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Ridgecrest Regional Hospital — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles