Myra Patawaran

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95218035 Issued in CA

Practice address

1775 Story Rd Ste 120
San Jose, CA 95122-1942

Phone

(408) 817-6894

Fax

(408) 494-1557

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Myra Manalastas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1255061172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 STORY RD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221942",
            "telephone_number": "408-817-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 STORY RD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221942",
            "telephone_number": "408-817-6894",
            "fax_number": "408-494-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAWARAN",
        "first_name": "MYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95218035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "MANALASTAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shoshana Rachel Paster, MA
• Matthew E. Pasto, M.D.
• Alma Pastrano, LCSW
• Neda Pasyar, MD
• Elaine Cimeni Patalinghug, PTA
• Patel & Aranda Active Chiropractic Inc.
• Patel Family Practice, Inc
• Patel Medical Corporation
• Patel Pharmacy Clinic Corp (Patel Pharmacy Clinic)
• Anuja Patel, PSY.D.

• Case Management Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.