Active NPI
Manreet Basra, M.D.
- Cardiovascular Disease Physician
- Stockton, CA
National Provider Identifier
1114157484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C137215
- Practice address
- 1801 E March LN Ste D400
Stockton, CA 95210-6675 - Phone
- (209) 464-3615
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
CA, Single Specialty
-
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1861649352
CA, Single Specialty
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
Single Specialty
-
- Family Medicine Physician
- Glendale, CA
- NPI 1083976294
-
- Community/Retail Pharmacy
- Lodi, CA
- NPI 1003846858
-
- Rural Health Clinic/Center
- Galt, CA
- NPI 1164431383
-
- Rehabilitation Hospital Unit
- Lodi, CA
- NPI 1821028671
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Orthopaedic Surgery Physician
- Lodi, CA
- NPI 1134769086
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Physicians NetworkLodi Memorial Hospital Association Inc
Practice addresses (Care Compare)
1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580
1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695
1801 E March LN
Suite D400
Stockton, CA 95210-6675
Phone (209) 464-3615
729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068
845 S Fairmont Ave
Suite 11
Lodi, CA 95240-5113
Phone (209) 334-0651
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
- Adventist Health Lodi Memorial
- St Joseph'S Medical Center of Stockton
- Dameron Hospital
- Mark Twain Medical Center
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022001122 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 2567605900 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C137215 | CA | MD | Cardiovascular Disease Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodi Memorial Hospital Association Inc | Single Specialty | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Single Specialty | Current | Accepting new patients |
| Delta Radiology, Inc. | Single Specialty | Current | Accepting new patients |
| Lodi Memorial Hospital Association Inc | Single Specialty | Current | Accepting new patients |
| Delta Radiology, Inc. | Single Specialty | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Lodi Memorial Hospital Association, Inc | Single Specialty | Current | Accepting new patients |
Locations
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
845 S Fairmont Ave
Ste 8
Lodi, CA 95240
Phone (209) 339-7410
845 S Fairmont Ave
Ste 11
Lodi, CA 95240
Phone (209) 334-0651
1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422
1801 E March Ln
Ste D400
Stockton, CA 95210
Phone (209) 334-0651
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | P9302 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | C137215 | CA | Primary |
Addresses
Primary practice location
1801 E March LN Ste D400
Stockton, CA 95210-6675
Mailing address
1801 E March LN Ste D400
Stockton, CA 95210-6675
Phone (209) 464-3615
NPI Registry JSON
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1114157484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E MARCH LN STE D400",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106675",
"telephone_number": "209-464-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E MARCH LN STE D400",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106675",
"telephone_number": "209-464-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASRA",
"first_name": "MANREET",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "P9302",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C137215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.