Organization Active NPI

Manohar R Senra MD, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Pico Rivera, CA
National Provider Identifier
1114930377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A36780 Issued in CA
Legal business name
MANOHAR R SENRA MD, INC
Practice address
8337 Telegraph Road
Suite #215
Pico Rivera, CA 90660-4945
Phone
(562) 927-6597
Fax
(562) 927-0059
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manohar R Senra, M.D.NPI 1750575296
Title
President
Phone
(562) 927-6597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A36780 CA Primary

Addresses

Primary practice location

8337 Telegraph Road
Suite #215
Pico Rivera, CA 90660-4945

Mailing address

8337 Telegraph Road
Suite #215
Pico Rivera, CA 90660-4945
Phone (562) 927-6597

Other identifiers 1

IdentifierTypeStateIssuer
00A367800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000240 CA Part B Supplier - Clinic/Group Practice 8527193283 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory
Tax ID family
Manohar R Senra MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114930377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH ROAD",
            "address_2": "SUITE #215",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604945",
            "telephone_number": "562-927-6597",
            "fax_number": "562-927-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH ROAD",
            "address_2": "SUITE #215",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604945",
            "telephone_number": "562-927-6597",
            "fax_number": "562-927-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOHAR R SENRA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENRA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-927-6597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A36780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A367800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.