Cynthia M Vanata, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A5932 Issued in CA

Practice address

1144 Norman Dr
#104
Manteca, CA 95336-5925

Phone

(209) 823-0827

Fax

(209) 823-5854

NPI assigned

Jul 10, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1093748006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580986",
            "telephone_number": "209-339-9036",
            "fax_number": "209-339-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "#104",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-823-0827",
            "fax_number": "209-823-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANATA",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A5932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX59320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Manteca, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.