Sepehr Josh Manavi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A115855 Issued in CA

Practice address

9200 Milliken Ave Apt 4205
Rancho Cucamonga, CA 91730-8501

Phone

(310) 740-7412

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: smanavi523602@oc.providencedirect.org

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.

• Palliative Care Doctors Group, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1578826053
  NPD
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1376705939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 4205",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308501",
            "telephone_number": "310-740-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 4205",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308501",
            "telephone_number": "310-740-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAVI",
        "first_name": "SEPEHR",
        "middle_name": "JOSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Malin
• Kaitlyn Nicole Malone
• Casey Malubay
• Hilda Jocelyn Auma Manaen
• Mark Arwin Osio Manalo
• Evelyn Mancha
• Ramon Mancha
• Olivia Manchego
• Debbie Mancillas, LCSW
• Khal Liam Mancini, D.D.S

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.