Individual provider Active NPI

Manpreet Kaur Sarna, MD

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1023048196
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C54529 Issued in CA
Practice address
18 Endeavor Ste 101
Irvine, CA 92618-3180
Phone
(949) 509-9915
Fax
(949) 509-1116
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8495 TX
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C54529 CA Primary

Addresses

Primary practice location

18 Endeavor Ste 101
Irvine, CA 92618-3180

Mailing address

18 Endeavor Ste 101
Irvine, CA 92618-3180
Phone (949) 509-9915

Other practice location 1

4655 Sweetwater Blvd
Suite 450
Sugar Land, TX 77479
Phone (281) 980-0920

Other identifiers 1

IdentifierTypeStateIssuer
164866901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C54529CAMDPediatrics Physician
L8495TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Memorial Medical Center Past Accepting new patients
Laguna Beach Pediatric Assoc. Inc Single Specialty PastSince Sep 13, 2020 Accepting new patients
Hoag Memorial Hospital Presbyterian Single Specialty PastSince Sep 13, 2020 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lagunabeachpediatricassociates.manpreetsarna@160241.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1023048196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183180",
            "telephone_number": "949-509-9915",
            "fax_number": "949-509-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183180",
            "telephone_number": "949-509-9915",
            "fax_number": "949-509-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4655 SWEETWATER BLVD",
            "address_2": "SUITE 450",
            "address_purpose": "LOCATION",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "country_code": "US",
            "telephone_number": "281-980-0920",
            "fax_number": "281-980-2647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARNA",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8495",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C54529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164866901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.