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Deactivated NPI 1932285541 Deactivated / Inactive NPI Male Practitioner

Ronald P Mandrell , PA

Physician Assistant • Fairfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ronald Mandrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date March 20, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Ronald Mandrell, PA was a registered Physician Assistant practicing in Fairfield, CA. Throughout an active medical career spanning 19 years, Ronald Mandrell provided care at the practice location at 1234 EMPIRE ST until profile deactivation on 2025-03-20.

Historical Medicare Part B clinical services included established patient outpatient office visit, urinalysis, manual test, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1234 Empire St

Fairfield, CA 945335711

Telephone 7074263911
Fax 7074342029
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Fairfield, CA (14617 Statewide)

Telehealth Adoption Rate
16.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
172 143 $105.00 $62.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
51 50 $145.00 $90.99
81002 Urinalysis, manual test
14 14 $20.00 $3.45

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA06795

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003996950

Doctor of Medicine (M.D.)

Larry Calfee , PA

Physician Assistant - Surgical

NPI 1134207434

Physician Assistant

Dr. Mark Ellis , MD

Internal Medicine - Infectious Disease

NPI 1144317462

Doctor of Medicine (M.D.)

NPI 1215024591

Doctor of Medicine (M.D.)

Anita Durham , RD, CDE

Dietitian, Registered

NPI 1215270939

Registered Dietitian, Certified Diabetes Educator

Dr. Daniel Green , MD

Internal Medicine

NPI 1386731602

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2025

Record deactivated on March 20, 2025

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2016

Registered at 1234 EMPIRE ST, FAIRFIELD, CA 945335711 (Tel: 7074263911)

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Updated Business Mailing Address May 23, 2016

Registered at PO BOX 255228, SACRAMENTO, CA 958655228 (Tel: 8004700071)

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Provider Name / Credentials Updated May 23, 2016

Recorded as RONALD MANDRELL, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Physician Assistant (License #PA06795 in TX)

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Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932285541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: May 23, 2016
Deactivation Date: March 20, 2025

Mailing Address

Po Box 255228

Sacramento, CA 958655228

Phone: 8004700071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.