Active NPI
Manmohan Gursahani, MD
- Urology Physician
- Fullerton, CA
National Provider Identifier
1720042336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C51339
- Practice address
- 1024 Ferndale Ave
Fullerton, CA 92831 - Phone
- (559) 241-4513
- NPI assigned
- Apr 12, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C51339 | CA | Primary |
Addresses
Primary practice location
1024 Ferndale Ave
Fullerton, CA 92831
Mailing address
1211 W la Palma Ave
Ste 502
Anaheim, CA 92801-2812
Phone (714) 267-4411
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 502
Anaheim, CA 92801-2812
Phone (714) 776-7090
Hospital & facility affiliations
- Ahmc Anaheim Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Urology | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Anaheim, CA
- NPI 1154441343
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Home Health Agency
- Saint Louis, MO
- NPI 1053314179
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
-
- Psychiatric Hospital Unit
- Saint Louis, MO
- NPI 1780763284
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1720042336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "STE 502",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012812",
"telephone_number": "714-267-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 FERNDALE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92831",
"telephone_number": "559-241-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURSAHANI",
"first_name": "MANMOHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C51339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.