Mia Dominique Manipud, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024700 Issued in CA

Practice address

900 Lafayette St Ste 105
Santa Clara, CA 95050-4966

Phone

(408) 293-7767

NPI assigned

Jun 2, 2023

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mia.manipud.p1@direct.orthonorcal.nextgenshare.com
• Direct secure messaging: mia.manipud.p2@direct.muirortho.nextgenshare.com
• Direct secure messaging: mia.manipud@8734917853188.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1972552990

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Jose, CA
  • NPI 1245021401
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Dublin, CA
  • NPI 1639822067
  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1316630403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LAFAYETTE ST STE 105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504966",
            "telephone_number": "408-293-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIPUD",
        "first_name": "MIA",
        "middle_name": "DOMINIQUE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaymein Mordecai Mandoriao Tapia
• Pia Marcela Mandrekar
• Kristine Mae Mangalindan, M.D.
• Dianne Ey Mani, PSY.D
• William S. Manich
• Karen Marie Manitsas, MPA-C
• Abhirami Manivannan
• Donna Gail Manning
• Kristina Marie Manning, M.D.
• Kalah Brittany Mannon

• Family Nurse Practitioner in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.

Verify at the official NPI Registry.