Individual provider Active NPI

Manvir Singh Wadhwa, MD

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1154881365
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A179523 Issued in CA
Practice address
4445 Magnolia Ave Ofc
Riverside, CA 92501-4199
Phone
(951) 788-3000
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A179523 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave Ofc
Riverside, CA 92501-4199

Mailing address

1781 W Romneya Dr Ste B
Anaheim, CA 92801-1818
Phone (714) 778-8484

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000214 CA Practitioner - Internal Medicine 5395120588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alertive Healthcare Medical Group ApcGroup PAC ID 9335543974, 39 clinicians

Practice addresses (Care Compare)

4354 Latham St
Suite 100
Riverside, CA 92501-1777
Phone (951) 466-6628

Hospital & facility affiliations

  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179523CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Rentz DO PC CurrentSince May 15, 2023 Accepting new patients
Alertive Healthcare Medical Group PC Internal Medicine PastSince Jul 28, 2024 Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4445 Magnolia Ave
Ofc
Riverside, CA 92501

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1154881365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-778-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE OFC",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014199",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA",
        "first_name": "MANVIR",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A179523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.