Maniberry Healthcare Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

95003522 Issued in CA

Legal business name

MANIBERRY HEALTHCARE SERVICES

Doing business as

Maniberry Medical Center

Practice address

1114 Olivewood Dr
Merced, CA 95348-1210

Phone

(209) 349-1896

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stella Nwasoka Adesokan, MSN, FNP-CNPI 1114392990

Title

Ceo

Phone

(559) 708-7181

Specialties & licenses 1

Addresses

Other names 1

• Maniberry Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stella Nwasoka Adesokan

  • Family Nurse Practitioner
  • Merced, CA
  • NPI 1114392990
  NPD (past) Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1437605110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "209-349-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 OLIVEWOOD DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481210",
            "telephone_number": "209-349-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIBERRY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ADESOKAN",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "NWASOKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-708-7181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "95003522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maniberry Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoeli Mancilla
• Pablo Mandujano
• Satara Marie Maness
• Umengsinh Gamelsinh Mangrola, PA
• Mani Nallasivan M D Inc a Professional Corporation (Merced Vein & Vascular Center)
• Manolito Castillo, M.D., Inc.
• Rosalinda Mansfield, CASE MANAGER
• Ken Christoph Manu
• Jacqueline Guadalupe Manzo Maravilla
• Humberto Manzo

• Clinic/Center in Merced, CA
• Providers in Merced, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.