Sukhbir Manjal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69930 Issued in CA

Practice address

6725 N Willow Ave Ste 106
Fresno, CA 93710-5951

Phone

(559) 494-4014

Fax

(559) 494-4015

NPI assigned

Sep 12, 2005

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Cincinnati College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Home Care Home health agency, Fresno, CA, CCN 057248
• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  Medicare reassignment Care Compare group
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 7173 North Sharon Avenue Operating Company, LLC

  dba San Joaquin Valley Rehabilitation Hospital

  • Rehabilitation Hospital
  • Fresno, CA
  • NPI 1831144716

  Inpatient rehabilitation facility

  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Community Home Care

  • Home Health Agency
  • Fresno, CA
  • NPI 1588745137
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1043205594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 N WILLOW AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105951",
            "telephone_number": "559-494-4014",
            "fax_number": "559-494-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJAL",
        "first_name": "SUKHBIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A699300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niki Mani
• Mydili R. Maniam-Mohan, M.D.
• Danilo Raymundo Manimtim, MD
• Dawn Manion, LCSW
• Gracielle Grospe Manipon, PHARM.D.
• Jose Eduardo Manjarrez Sr., BSW, SUDCC
• Fnu Manjot Kaur
• Kristina Marie Mankins, RDHAP
• Aidan Alexander Manley
• Mann Assessments & Psychotherapy Inc

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.