Manikanda Raja MD a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

1701 E Florida Ave
Hemet, CA 92544-4632

Phone

(951) 658-4486

Fax

(951) 925-1666

NPI assigned

Feb 23, 2015

Last updated

Apr 9, 2015By 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

Dr. Manikanda Raja, MDNPI 1730290321

Title

President

Phone

(951) 658-4486

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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.

• Manikanda G Raja, M.D.

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1730290321
  Medicare reassignment Care Compare group NPD Authorized official
• Tyrelle Kate Elizabeth Hunt, M.D.

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1558985390
  Medicare reassignment Care Compare group NPD
• Benson Eghreriniovo, MD

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1962145904
  Medicare reassignment Care Compare group
• Christa R Lawhorn, RN MSN ANP

  • Adult Health Nurse Practitioner
  • San Diego, CA
  • NPI 1083942734
  Medicare reassignment Care Compare group
• Zohra Damawand, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
  • NPI 1043799703
  Medicare reassignment NPD
• Shirley Duncan, FNP

  • Adult Health Nurse Practitioner
  • Yucca Valley, CA
  • NPI 1407323025
  Medicare reassignment NPD
• Lu-Hsun Shih

  • Adult Health Nurse Practitioner
  • Hemet, CA
  • NPI 1932648334
  NPD
• Yamuna Reddy Kondapally, MD

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1104336361

  Internal Medicine

  NPD
• Diana Jazmin Ong, NP

  • Family Nurse Practitioner
  • Temecula, CA
  • NPI 1285284760
  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1497147847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444632",
            "telephone_number": "951-658-4486",
            "fax_number": "951-925-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444632",
            "telephone_number": "951-658-4486",
            "fax_number": "951-925-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "MANIKANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-658-4486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mama Angelina Coconocho LLC
• Mama Dee's Birth and Postpartum Doula Service's (none)
• Mamad Bagheri MD Inc
• Mallory Ann Manahan, MSW, ASW
• Stephen Manfredi, M.D.
• Manor Care of Hemet Ca LLC (ManorCare Health Services)
• Gina Marbury
• Alan Mare, M.D.
• Galeh Harout Margossian, DO
• Lisa Mariano-Grise

• Internal Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.