Individual provider Active NPI

Tina Manibhai, R.N., CRNA

  • Certified Registered Nurse Anesthetist
  • Marina del Rey, CA
National Provider Identifier
1750521167
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3823 Issued in CA
Practice address
13700 Marina Pointe Dr Unit 1429
Marina del Rey, CA 90292-9269
Phone
(310) 293-5724
NPI assigned
Feb 25, 2009
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3823 CA Primary

Addresses

Primary practice location

13700 Marina Pointe Dr Unit 1429
Marina del Rey, CA 90292-9269

Mailing address

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210-4240
Phone (310) 293-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3823CAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1750521167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "STE 240",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104240",
            "telephone_number": "310-293-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 MARINA POINTE DR UNIT 1429",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929269",
            "telephone_number": "310-293-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIBHAI",
        "first_name": "TINA",
        "credential": "R.N., CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.