Individual provider Active NPI

Manisha Ram Punwani, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1407845720
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55296 Issued in CA
Practice address
1801 Bush St
Suite 118
San Francisco, CA 94109-5239
Phone
(217) 691-0186
Fax
(415) 704-3206
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 55296 CA
Psychiatry Physician 2084P0800X 55296 CA Primary

Addresses

Primary practice location

1801 Bush St
Suite 118
San Francisco, CA 94109-5239

Mailing address

1801 Bush St
Suite 118
San Francisco, CA 94109-5239
Phone (217) 691-0186

Other identifiers 1

IdentifierTypeStateIssuer
036119462MedicaidIL

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1407845720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST",
            "address_2": "SUITE 118",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095239",
            "telephone_number": "217-691-0186",
            "fax_number": "415-704-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST",
            "address_2": "SUITE 118",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095239",
            "telephone_number": "217-691-0186",
            "fax_number": "415-704-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNWANI",
        "first_name": "MANISHA",
        "middle_name": "RAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "55296",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "55296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119462",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.