Mario Mangiardi, MD
Mario Mangiardi, MD is a Psychiatry in Petaluma, California. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.
- Years since qualifying
- 11
- Licensed in
- CA, PA
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1900 S McDowell BlvdPetaluma, CA 94954-5473
Phone: (707) 699-6100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1601 Cummins Dr Ste D, Modesto, CA 95358-6411 — (510) 900-3125
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence A153617 (CA) |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X · Licence A153617 (CA) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence MT209621 (PA) |
Record details
| NPI number | 1023490828 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 29, 2015 |
| Last updated in NPPES | July 27, 2022 |
| Certification date | July 26, 2022 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Petaluma
-
Dr. Jeremy Lr Goodwin, MS, MD
1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 · (707) 938-7951
-
Jack Edwin Miller, MD
765 Baywood Dr #231, Petaluma, CA 94954 · (707) 762-2166
-
Sonoma Pain Management, Inc
1456 Professional Dr Ste 402, Petaluma, CA 94954-6639 · (707) 938-7951