Sapoora Manshaii MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C54919 Issued in CA

Legal business name

SAPOORA MANSHAII MD INC

Practice address

400 N McDowell Blvd
Petaluma, CA 94954-2339

Phone

(707) 778-1111

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sapoora Manshaii, M.D.

Title

Owner / Provider

Phone

(916) 862-1819

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1386184620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 EXETER SQUARE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256476",
            "telephone_number": "916-862-1819",
            "fax_number": "916-224-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542339",
            "telephone_number": "707-778-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPOORA MANSHAII MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-03-09",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MANSHAII",
        "authorized_official_first_name": "SAPOORA",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "916-862-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C54919",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "C54919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Paola Santacruz Sosa
• Amanda D Santana
• Noel E Santo Domingo, M.D.
• Merlita Marquez Santos
• Angela Marie Grech Sanville, MA, AMFT
• Sarah Sargent-Balfour, MS
• Paige Christine Sarlandt
• Tonia Sassi, LMFT
• Susan Elizabeth Sattler, MFT
• Elizabeth Jean Sawers

• Surgery Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.