Manjula Katakia

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A29718 Issued in CA

Practice address

1975 Long Beach Blvd
Long Beach, CA 90806-5501

Phone

(562) 599-9271

NPI assigned

Jan 4, 2007

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083761753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRONCO DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065501",
            "telephone_number": "562-599-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAKIA",
        "first_name": "MANJULA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A29718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Kasperek, P.A.
• John Kassabian, M.D.
• Amber Lynn Kadolph Kasten, AUD
• Julie Kastigar
• Markus Kasunich
• Kyle Katayama, PA
• Katherine M. Tanaka, M.D., Inc.
• Kathleen Gay Bogner in Home Therapy Connections
• Nelda Bliss Katibian, MSW
• Katie Y Jang Optometry Professional Corporation

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician 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.