Individual provider Active NPI

Manohar R Senra, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pico Rivera, CA
National Provider Identifier
1750575296
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A36780 Issued in CA
Practice address
8337 Telegraph Rd
Suite#215
Pico Rivera, CA 90660-4909
Phone
(562) 927-6597
Fax
(562) 927-0059
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A36780 CA Primary

Addresses

Primary practice location

8337 Telegraph Rd
Suite#215
Pico Rivera, CA 90660-4909

Mailing address

8337 Telegraph Rd
Suite#215
Pico Rivera, CA 90660-4909
Phone (562) 927-6597

Other identifiers 1

IdentifierTypeStateIssuer
00A367800MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000231 CA Practitioner - Critical Care (Intensivists) 2264567924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Fullerton, CA 92835
Phone (562) 631-3394

8337 Telegraph Rd
Pico Rivera, CA 90660-4945

Hospital & facility affiliations

  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Kindred Hospital -- la Mirada Long-term care hospital, La Mirada, CA, CCN 052038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36780CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manohar R Senra MD, Inc Critical Care Medicine CurrentSince Nov 17, 2009 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Manohar R.Senra. M.D,Inc. Critical Care Medicine PastSince Jan 1, 1973 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

8337 Telegraph Rd
Ste 215
Pico Rivera, CA 90660
Phone (562) 927-6597

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1750575296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD",
            "address_2": "SUITE#215",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604909",
            "telephone_number": "562-927-6597",
            "fax_number": "562-927-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD",
            "address_2": "SUITE#215",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604909",
            "telephone_number": "562-927-6597",
            "fax_number": "562-927-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENRA",
        "first_name": "MANOHAR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A36780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A367800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.