Active NPI
Manoj Motwani, M.D.
- Ophthalmology Physician
- San Diego, CA
National Provider Identifier
1568887149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A69391
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A69391 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Clarus Medical, Inc.
- Ophthalmology Physician
- San Diego, CA
- NPI 1700030053
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.