Active NPI
Diya Manavalan, PHARMD
- Pharmacist
- Walnut Creek, CA
National Provider Identifier
1326685413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80960
- Practice address
- 1871 N Main St
Walnut Creek, CA 94596-4106 - Phone
- (925) 979-0095
- NPI assigned
- Dec 8, 2019
- Last updated
- Dec 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80960 | CA | Primary |
Addresses
Primary practice location
1871 N Main St
Walnut Creek, CA 94596-4106
Mailing address
1713 Cedarwood Loop
San Ramon, CA 94582-3043
Phone (408) 636-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80960 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575763200000",
"number": "1326685413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 CEDARWOOD LOOP",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945823043",
"telephone_number": "408-636-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 N MAIN ST",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964106",
"telephone_number": "925-979-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAVALAN",
"first_name": "DIYA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-08",
"last_updated": "2019-12-08",
"certification_date": "2019-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.