NPIMap

Organization Active NPI

MPR Health Group

Doing business as Mannie Joel, M.D. and Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cupertino, CA
National Provider Identifier
1093254377
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A128252 Issued in CA
Legal business name
MPR HEALTH GROUP
Doing business as
Mannie Joel, M.D. and Associates
Practice address
10362 Greenwood CT Cupertino, Ca 95014
Suite #2
Cupertino, CA 95014
Phone
(202) 279-1473
NPI assigned
Feb 20, 2017
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Dr. Kareem Hubbard, M.D.NPI 1922327097
Title
C.E.O/Owner
Phone
(202) 279-1473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X A128252 CA Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

10362 Greenwood CT Cupertino, Ca 95014
Suite #2
Cupertino, CA 95014

Mailing address

10362 Greenwood CT Cupertino, Ca 95014
Suite #2
Cupertino, CA 95014
Phone (202) 279-1473

Other names 1

  • Mannie Joel, M.D. and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1250 Fairmont Dr
Ste A532
San Leandro, CA 94578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1093254377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 GREENWOOD CT CUPERTINO, CA 95014",
            "address_2": "SUITE #2",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "202-279-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 GREENWOOD CT CUPERTINO, CA 95014",
            "address_2": "SUITE #2",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "202-279-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPR HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "C.E.O/OWNER",
        "authorized_official_telephone_number": "202-279-1473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A128252",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannie Joel, M.D. and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.