Manoj Sumanlal Desai, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A33897 Issued in CA

Practice address

2023 Vale Rd
Suite # 1
San Pablo, CA 94806-3834

Phone

(510) 237-3785

Fax

(510) 237-2837

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043237597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 VALE RD",
            "address_2": "SUITE # 1",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-237-3785",
            "fax_number": "510-237-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VALE RD",
            "address_2": "SUITE # 1",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-237-3785",
            "fax_number": "510-237-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MANOJ",
        "middle_name": "SUMANLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ray Deaton
• Nataly Del Cid
• Gay Concesa Del Rosario-Seggay
• Sara Evangeline Delaney, MSN/MPH, FNP-C
• Dentists of San Pablo, Inc. (Dentists of San Pablo)
• Diablo Medical & Sleep Clinic Medical Corporation
• Mously Diakhate, PA-C
• Beth Dillin, BETH DILLIN
• Docs of the Bay
• Doctors Medical Center- San Pablo

• Specialist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.