Active NPI
Manita Choudhary, MD
- Endocrinology, Diabetes & Metabolism Physician
- Eastvale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A158357
- Practice address
- 12742 Limonite Ave
Eastvale, CA 92880-9630 - Phone
- (951) 739-2717
- Fax
- (951) 371-6586
- NPI assigned
- Apr 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A158357 | CA | Primary |
Addresses
Primary practice location
12742 Limonite Ave
Eastvale, CA 92880-9630
Mailing address
12742 Limonite Ave
Eastvale, CA 92880-9630
Other practice location 1
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 739-2717
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
- Endocrinology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5556
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A158357 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients |
Locations
12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1871902452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1730543752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12742 LIMONITE AVE",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928809630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12742 LIMONITE AVE",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928809630",
"telephone_number": "951-739-2717",
"fax_number": "951-371-6586"
}
],
"practiceLocations": [
{
"address_1": "21634 Retreat Pkwy",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928836100",
"country_code": "US",
"telephone_number": "951-739-2717",
"fax_number": "951-371-6586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOUDHARY",
"first_name": "MANITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A158357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.