Individual provider Active NPI

Manoj Motwani, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1568887149
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A69391 Issued in CA
Practice address
4520 Executive Dr
Suite 230
San Diego, CA 92121-3018
Phone
(858) 554-0008
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A69391 CA Primary

Addresses

Primary practice location

4520 Executive Dr
Suite 230
San Diego, CA 92121-3018

Mailing address

4520 Executive Dr
Suite 230
San Diego, CA 92121-3018
Phone (858) 554-0008

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69391CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Motwani Lasik Institute Ophthalmology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1568887149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213018",
            "telephone_number": "858-554-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213018",
            "telephone_number": "858-554-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTWANI",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.