Manjula Muppu MD PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A115266 Issued in CA

Legal business name

MANJULA MUPPU MD PC

Practice address

5280 Montiano CT
Dublin, CA 94568-2917

Phone

(925) 998-4151

NPI assigned

Jun 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manjula Muppu, M.D.NPI 1104088582

Title

President

Phone

(925) 998-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manjula Muppu, MD

  • Family Medicine Physician
  • Livermore, CA
  • NPI 1104088582
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013397652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 MONTIANO CT",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682917",
            "telephone_number": "925-998-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 MONTIANO CT",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682917",
            "telephone_number": "925-998-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJULA MUPPU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MUPPU",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-998-4151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A115266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A115266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emerald Malijan-Oneill
• Alia Malik
• Shiena Malingin
• Mamma Mia Medical PC
• Nathaly Manivanh
• Juakeema Mann
• Ailene Manriquez-Navarro
• Jeanette S Manriquez
• Mariz Mansour
• Chelsea Manuel

• Adult Medicine Physician in Dublin, CA
• Providers in Dublin, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.