Dinesh S Mantri, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A45326 Issued in CA

Practice address

3760 Sunlight CT
Redding, CA 96001-0173

Phone

(530) 768-4052

Fax

(844) 424-9064

NPI assigned

Feb 8, 2007

Last updated

Jul 21, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

24.67 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

82.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Applewood Operating Company, LLC

  dba Copper Ridge Healthcare Center

  • Skilled Nursing Facility
  • Redding, CA
  • NPI 1952465791

  Contracted Managing Employee

  CMS ownership
• Magnolia Holdings, LLC

  dba Oak River Rehab

  • Skilled Nursing Facility
  • Anderson, CA
  • NPI 1316005226

  Contracted Managing Employee

  CMS ownership

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.

• Shasta Internal Medicine a Medical Corporation

  • Internal Medicine Physician
  • Redding, CA
  • NPI 1134268444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659411361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991947",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991947",
            "telephone_number": "530-768-4052",
            "fax_number": "844-424-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SUNLIGHT CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010173",
            "telephone_number": "530-768-4052",
            "fax_number": "844-424-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 East Street",
            "address_2": "330",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "96001",
            "country_code": "US",
            "telephone_number": "530-241-4500",
            "fax_number": "530-241-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTRI",
        "first_name": "DINESH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ23791Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Dean Manner, M.S.
• Charles Everett Mansell, MD
• Olivia A Mansilla, MD
• Dorinda Elaine Manson, NURSE LVN 83466
• David W. Mantik, MD
• Soledad Hernandez Manzo
• Cameron Mapes, LPCC
• Courtney Danielle Mapes
• Richard M Maples, M.D.
• Shari Lynn Maraviov

• Internal Medicine Physician in Redding, CA
• Providers in Redding, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.