Active NPI
Manish V Sheth, MD
- Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C53102
- Practice address
- 4510 Executive Dr
Suite 115
San Diego, CA 92121-3021 - Phone
- (858) 427-5060
- Fax
- (619) 383-6701
- NPI assigned
- May 24, 2006
- Last updated
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5295 | SD | |
| Psychiatry Physician | 2084P0800X | 46626 | MN | |
| Psychiatry Physician | 2084P0800X | C53102 | CA | Primary |
Addresses
Primary practice location
4510 Executive Dr
Suite 115
San Diego, CA 92121-3021
Mailing address
4510 Executive Drive
Suite 115
San Diego, CA 92121
Phone (858) 427-5060
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040121002 | Other | MN | PRIMEWEST |
| 22037 | Other | SANFORD HEALTH PLAN | |
| HP40279 | Other | SD | HEALTHPARTNERS |
| 241810 | Other | SD | MIDLANDS CHOICE |
| 57108C035 | Other | SD | WPS TRICARE |
| 12200 | Medicaid | ND | |
| 1225083272 | Medicaid | IA | |
| 370624200 | Other | SD | DEPT OF LABOR |
| 4993237 | Other | SD | BLUE CROSS |
| C53102 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| 1225083272 | Other | SD | ARAZ/ AMERICA'S PPO |
| 412991040284 | Other | SD | PREFERRED ONE |
| 5G434SH | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 7101604 | Medicaid | SD | |
| 5295 | Other | SD | DAKOTACARE |
| 170133900 | Medicaid | MN | |
| 46022474352 | Medicaid | NE | |
| 5G434SH | Other | SD | BLUE PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5060 Shoreham PL
Suite 330
San Diego, CA 92122-5976
Phone (858) 427-5060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53102 | CA | MD | Psychiatry Physician |
| 5295 | SD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Psychiatry | Current | Accepting new patients |
| Headlight Health Medical Group PLLC | Psychiatry | Current | Accepting new patients |
| Shashita Inamdar MD Professional Corporation | Psychiatry | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Psychiatry | Current | Accepting new patients |
| GPPS LLC | Past | Accepting new patients | |
| Psychiatric Services Incorporated | Psychiatry | Past | Accepting new patients |
| Wings Recovery Center, Inc. | Past | Accepting new patients | |
| Human Service Agency | Psychiatry | Past | Accepting new patients |
Locations
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
2386 Faraday Ave
Ste 111
Carlsbad, CA 92008
6183 Paseo del Norte
Ste 140
Carlsbad, CA 92011
Phone (760) 942-8663
900 Lane Ave
Ste 114
Chula Vista, CA 91914
Phone (858) 427-5060
72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867
4510 Executive Dr
Ste 115
San Diego, CA 92121
Phone (858) 427-5060
5060 Shoreham Pl
Ste 100
San Diego, CA 92122
Phone (858) 221-0344
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
32605 Temecula Pkwy
Ste 202
Temecula, CA 92592
Phone (844) 467-3867
32605 Temecula Pkwy
Ste 305
Temecula, CA 92592
Phone (858) 427-5060
1675 SW Marlow Ave
Ste 309
Portland, OR 97225
Phone (503) 298-4592
1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592
4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592
700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559
8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 430-5762
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- manish.sheth.1@18773.direct.athenahealth.com
- manish.sheth.p1@direct.sokya.nextgenshare.com
Organizations & group practices 8
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.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
-
- Psychiatry Physician
- Agoura Hills, CA
- NPI 1417274036
-
- Mental Illness Community Based Residential Treatment Facility
- Vista, CA
- NPI 1700361615
-
dba Great Plains Psychological Services LLC
- Multi-Specialty Clinic/Center
- Sioux Falls, SD
- NPI 1386620607
-
- Addiction (Substance Use Disorder) Counselor
- Watertown, SD
- NPI 1720074644
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1225083272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DRIVE",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "858-427-5060",
"fax_number": "619-383-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 115",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-427-5060",
"fax_number": "619-383-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "MANISH",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "5295",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "46626",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C53102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "040121002",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "22037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP40279",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "241810",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57108C035",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12200",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225083272",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4993237",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LICENSE",
"identifier": "C53102",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/ AMERICA'S PPO",
"identifier": "1225083272",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "412991040284",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "5G434SH",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101604",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "5295",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170133900",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46022474352",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE PLUS",
"identifier": "5G434SH",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.