Individual provider Active NPI

Manjula Kurella, MD, MPH

  • Nephrology Physician
  • San Francisco, CA
National Provider Identifier
1720032972
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A79151 Issued in CA
Practice address
1701 Divisadero St
San Francisco, CA 94115-3011
Phone
(415) 476-2173
Fax
(415) 476-3381
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79151 CA
Nephrology Physician 207RN0300X A79151 CA Primary

Addresses

Primary practice location

1701 Divisadero St
San Francisco, CA 94115-3011

Mailing address

3333 California St
Suite 430
San Francisco, CA 94118-1211
Phone (415) 476-2173

Other identifiers 1

IdentifierTypeStateIssuer
00A791510MedicaidCA

Other names 1

  • Dr. Manjula Tamura Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1720032972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CALIFORNIA ST",
            "address_2": "SUITE 430",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181211",
            "telephone_number": "415-476-2173",
            "fax_number": "415-476-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-476-2173",
            "fax_number": "415-476-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURELLA",
        "first_name": "MANJULA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79151",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A79151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A791510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJULA",
            "last_name": "TAMURA",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.