Organization Active NPI

Parvin Mani, Inc

  • Gynecology Physician
  • San Diego, CA
National Provider Identifier
1124124730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A52580 Issued in CA
Legal business name
PARVIN MANI, INC
Doing business as
PARVIN MANI, MD, INC
Practice address
5555 Reservoir Dr Ste 208
San Diego, CA 92120-5187
Phone
(619) 583-7555
Fax
(619) 583-0555
NPI assigned
Sep 15, 2006
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
Parvin Mani, M.D.NPI 1518925015
Title
President
Phone
(619) 583-7555

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X A52580 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 208
San Diego, CA 92120-5187

Mailing address

5555 Reservoir Dr Ste 208
San Diego, CA 92120-5187
Phone (619) 583-7555

Other names 1

  • PARVIN MANI, MD, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101115000261 CA Part B Supplier - Clinic/Group Practice 1456546571 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124124730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205187",
            "telephone_number": "619-583-7555",
            "fax_number": "619-583-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205187",
            "telephone_number": "619-583-7555",
            "fax_number": "619-583-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVIN MANI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "PARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-583-7555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A52580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARVIN MANI, MD, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, 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.