NPIMap

Individual provider Active NPI

Ajit S Maniam, M.D.

  • Specialist
  • Anaheim, CA
National Provider Identifier
1205802618
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A56120 Issued in CA
Practice address
1801 W Romneya Dr
Ste#203
Anaheim, CA 92801-1830
Phone
(714) 999-1465
Fax
(714) 999-1701
NPI assigned
Feb 24, 2006
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A56120 CA Primary

Addresses

Primary practice location

1801 W Romneya Dr
Ste#203
Anaheim, CA 92801-1830

Mailing address

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801-1824
Phone (714) 999-1465

Other identifiers 2

IdentifierTypeStateIssuer
A56120OtherCACOMMERICAL
00A56120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203001080 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2163315284

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cancer Medical Center Inc Specialist CurrentSince Sep 1, 1996 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Chiron Psychological, Inc PastSince Oct 1, 2021 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1205802618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011824",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE#203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAM",
        "first_name": "AJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL",
            "identifier": "A56120",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A56120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.