Gerdenio Medard Manuel

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY9837 Issued in CA

Practice address

150 Golden Gate Ave FL 2
San Francisco, CA 94102-3810

Phone

(415) 241-8320

Fax

(415) 440-7776

NPI assigned

Jun 12, 2017

Last updated

Jun 12, 2017By the provider in NPPES

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

Opted out of Medicare

Yes, effective Apr 28, 2025 through Apr 28, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gerdenio.manuel.p1@direct.smhc.nextgenshare.com

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

• St Anthony Foundation

  dba St Anthony Medical Clinic

  • Primary Care Clinic/Center
  • San Francisco, CA
  • NPI 1356643654
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1427588508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TURK BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184347",
            "telephone_number": "408-476-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GOLDEN GATE AVE FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023810",
            "telephone_number": "415-241-8320",
            "fax_number": "415-440-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "GERDENIO",
        "middle_name": "MEDARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mantra Speech Therapy, PC
• Kiernan Riley Manu
• Patricia Anne Manubay
• Darlene Manuel
• Frielyn Apostol Manuel, RN
• Jennifer Manuel, PHD
• Patrick Sean Manuel, OTD
• Solmaz Parveen Poorsattar Manuel, M.D.
• Elizabeth Manuilova, L.V.N.
• Yvette Parawan Manulat

• Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.