Manchester Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANCHESTER MEDICAL GROUP PC

Practice address

6222 W Manchester Ave Ste a
Los Angeles, CA 90045-3801

Phone

(310) 670-1840

Fax

(310) 670-4016

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Cindy Andrewin

Title

Office Manager

Phone

(310) 670-1840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paymon Banafshe, D.O.

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1346341575
  Medicare reassignment Care Compare group NPD
• James Martin Richards, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1235227778
  Medicare reassignment Care Compare group NPD
• Rabin Beral, DPM

  • Podiatrist
  • Gardena, CA
  • NPI 1154361871
  Medicare reassignment NPD
• Annahita Pourmand

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1649615881

  Internal Medicine

  Medicare reassignment NPD
• Sheri Lee Weitz, R.D.

  • Registered Dietitian
  • Westchester, CA
  • NPI 1447525126
  Medicare reassignment NPD
• Lauren M Richards, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1508250531

  CA, Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1164918892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W MANCHESTER AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453801",
            "telephone_number": "310-670-1840",
            "fax_number": "310-670-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 W MANCHESTER AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453801",
            "telephone_number": "310-670-1840",
            "fax_number": "310-670-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWIN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-670-1840"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejas Chandrakant Manchandia, M.D.
• Charles Gladden Manchee, M.D.
• Suzanne Lee Mancherian, DPM
• Manchester Healthcare Center, LLC
• Manchester Manor Convalescent Hospital
• Manchester Optometry Eye Care
• Manchester Urgent Care Inc
• Diana Manchevska
• Joe A Mancia Robles
• Amy Ayline Mancia

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.