Active NPI
Manprit Virk, RN, MSN-CNL, CDCES
- Diabetes Educator Registered Nurse
- Hayward, CA
National Provider Identifier
1144110016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 790017
- Practice address
- 29060 Eden Shores Dr
Hayward, CA 94545-1353 - Phone
- (510) 449-6347
- NPI assigned
- Jul 3, 2025
- Last updated
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 790017 | CA | Primary |
Addresses
Primary practice location
29060 Eden Shores Dr
Hayward, CA 94545-1353
Mailing address
29060 Eden Shores Dr
Hayward, CA 94545-1353
Phone (510) 449-6347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 790017 | CA | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1144110016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29060 EDEN SHORES DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451353",
"telephone_number": "510-449-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29060 EDEN SHORES DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451353",
"telephone_number": "510-449-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRK",
"first_name": "MANPRIT",
"credential": "RN, MSN-CNL, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "CA",
"license": "790017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.