Individual provider Active NPI

Evelyn Manalili Musni, M.D.

  • Nuclear Imaging & Therapy Physician
  • Fremont, CA
National Provider Identifier
1699751222
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
A82026 Issued in CA
Practice address
1860 Mowry Ave Ste 200
Fremont, CA 94538-1730
Phone
(510) 790-2202
Fax
(510) 790-2806
NPI assigned
Dec 15, 2005
Last updated
May 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X A82026 CA
Nuclear Imaging & Therapy Physician 207UN0902X A82026 CA Primary

Addresses

Primary practice location

1860 Mowry Ave Ste 200
Fremont, CA 94538-1730

Mailing address

2 Jib CT
Pleasant Hill, CA 94523-1208
Phone (925) 691-9718

Other names 1

  • Dr. Evelyn Yanga Manaili Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061213000367 CA Practitioner - Nuclear MedicinePractitioner - General Practice 1658370085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romesh K Japra MD a Medical CorporationGroup PAC ID 5991750127, 2 clinicians

Practice addresses (Care Compare)

2191 Mowry Ave
Suite 500H
Fremont, CA 94538-1725
Phone (510) 792-9700

3155 Kearney St
Suite 210
Fremont, CA 94538-2268
Phone (510) 790-2202

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82026CAMDMarriage & Family Therapist
A82026CAMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Medical Imaging Inc a Medical Corporation CurrentSince Mar 1, 2010 Accepting new patients
Pacific Imaging Consultants, a Medical Group, Inc. Past Accepting new patients
Beverly Hills Medical Imaging Past Accepting new patients

Locations

2191 Mowry Ave
Ste 500H
Fremont, CA 94538
Phone (415) 595-8687

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 796-0770

Organizations & group practices 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1699751222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JIB CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231208",
            "telephone_number": "925-691-9718",
            "fax_number": "925-691-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-790-2202",
            "fax_number": "510-790-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSNI",
        "first_name": "EVELYN",
        "middle_name": "MANALILI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A82026",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "CA",
            "license": "A82026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MANAILI",
            "middle_name": "YANGA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.