Organization Active NPI

Rajeev R Manu M D Inc

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1730120684
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
Z35741 Issued in CA
Legal business name
RAJEEV R MANU M D INC
Practice address
9870 Brimhall Rd Unit 100
Bakersfield, CA 93312-2798
Phone
(661) 587-7611
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Rajeev Manu, MDNPI 1003899907
Title
Owner
Phone
(661) 587-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Z35741 CA Primary

Addresses

Primary practice location

9870 Brimhall Rd Unit 100
Bakersfield, CA 93312-2798

Mailing address

PO Box 2164
Bakersfield, CA 93303-2164
Phone (661) 587-7611

Other identifiers 1

IdentifierTypeStateIssuer
00A375410MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001508 CA Part B Supplier - Clinic/Group Practice 7810985975 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2323 16th St
Ste 504
Bakersfield, CA 93301
Phone (661) 395-1335

9870 Brimhall Rd
#10
Bakersfield, CA 93312
Phone (661) 587-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1730120684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032164",
            "telephone_number": "661-587-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 BRIMHALL RD UNIT 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122798",
            "telephone_number": "661-587-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJEEV R MANU M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MANU",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-587-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "Z35741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A375410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.