Individual provider Active NPI

Manisha Goel, M.D.

  • Hospitalist Physician
  • Fullerton, CA
National Provider Identifier
1164608063
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A100939 Issued in CA
Practice address
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone
(714) 992-3969
NPI assigned
Jan 10, 2008
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100939 CA
Hospitalist Physician 208M00000X A100939 CA Primary

Addresses

Primary practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809

Mailing address

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 992-3969

Other practice location 1

1211 W La Palma Ave
Suite 207
Anaheim, CA 92801-2815
Phone (714) 772-8282

Other identifiers 2

IdentifierTypeStateIssuer
P00718161OtherCAMEDICARE RR
1164608063MedicaidCA

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
I20090409000073 CA Practitioner - Internal MedicinePractitioner - Hospitalist 7416004437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100939CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Chest and Critical Care Consultants a Medical Group Internal Medicine Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jan 15, 2024 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jan 15, 2024 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
University of California Irvine Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 207
Anaheim, CA 92801
Phone (714) 772-8282

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

1801 W Romneya Dr
Ste 409
Anaheim, CA 92801
Phone (714) 772-8282

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

5451 La Palma Ave
Ste 19
La Palma, CA 90623
Phone (714) 521-9126

1325 N Rose Dr
Ste 208
Placentia, CA 92870
Phone (714) 203-1283

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

14350 Whittier Blvd
Ste 315
Whittier, CA 90605
Phone (562) 464-2163

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1164608063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "714-992-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "714-992-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W La Palma Ave",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928012815",
            "country_code": "US",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEL",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100939",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A100939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00718161",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164608063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.