Mydili R. Maniam-Mohan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C54039 Issued in CA

Practice address

7413 N Cedar Ave Ste 101
Fresno, CA 93720-3833

Phone

(559) 435-1500

Fax

(559) 478-5082

NPI assigned

Oct 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: firstpediatricsmedicalgroup.mydilimaniam-mohan@126147.advancedmd-direct.com

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

• First Pediatrics Medical Group, Inc

  • Specialist
  • Fresno, CA
  • NPI 1891131298
  NPD Authorized official
• Valley Children'S Hospital

  • Children's Hospital
  • Madera, CA
  • NPI 1952312043
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1093903262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-435-1500",
            "fax_number": "559-478-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-435-1500",
            "fax_number": "559-478-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAM-MOHAN",
        "first_name": "MYDILI",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "C54039",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C54039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Manguerra
• Myra De Guzman Manguerra
• Minerva Mangulabnan
• Keturah Unitta Mangum
• Niki Mani
• Danilo Raymundo Manimtim, MD
• Dawn Manion, LCSW
• Gracielle Grospe Manipon, PHARM.D.
• Sukhbir Manjal, MD
• Jose Eduardo Manjarrez Sr., BSW, SUDCC

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.