Manika Pandey, MD
Individual provider Active NPI Family Medicine Physician · Mecca, CA
NPI 1275690653 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1275690653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A37220 (CA)
- Practice address
- 91275 66TH Ave
500
Mecca, CA 92254 - Phone
- (760) 396-1249
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000157 | CA | Order and Referring Only - Family Practice |
3173610011 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A37220 | CA | Yes |
Addresses
Primary practice location
91275 66TH Ave
500
Mecca, CA 92254
Mailing address
1166 K St
Brawley, CA 92227-2737
Phone (760) 344-9951
Other providers in Mecca, CA
- Mfimecca Family Resource Center
- Alanis Janelle Molina
- Gabriela Angel Moreno
- Valentin Nuzhny
- Dennise Olivas
- Barbara P Ramos
- Tatyana Rapan
- Paula Rayos
- Riverside County Latino Commission on Alcohol and Drug Abuse Services
- Riverside Latino Commission on Alcohol & Drug Abuse Services, Inc.
All providers in Mecca, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.