Individual provider Active NPI

Manasa Vulchi, M.D.

  • Medical Oncology Physician
  • Rancho Mirage, CA
National Provider Identifier
1760739296
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A161037 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 346-7655
Fax
(760) 834-6111
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A161037 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 346-7655

Other practice location 1

415 S Palm Canyon Dr
Palm Springs, CA 92262-7303
Phone (760) 346-7655

Other practice location 2

57725 29 Palms Hwy Ste 201
Yucca Valley, CA 92284-3046
Phone (760) 346-7655

Other practice location 3

45280 Seeley Dr
LA Quinta, CA 92253-6834
Phone (760) 346-7655

Other practice location 4

40075 Bob Hope Dr Ste A
Rancho Mirage, CA 92270-3945
Phone (760) 346-7655

Other identifiers 1

IdentifierTypeStateIssuer
D79660OtherMDMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvulchi1658425@oc.providencedirect.org

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
I20190624000834 CA Practitioner - Medical OncologyPractitioner - Internal Medicine 8224347901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

45280 Seeley Dr
La Quinta, CA 92253-6834
Phone (760) 610-7200

72780 Country Club Dr
Suite 305
Rancho Mirage, CA 92270-4149
Phone (760) 837-8748

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161037CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 3, 2019 Accepting new patients
Eisenhower Medical Center CurrentSince Jun 19, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Jun 3, 2019 Accepting new patients
Eisenhower Medical Center CurrentSince Jun 19, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Union Memorial Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

45280 Seeley Dr
La Quinta, CA 92253
Phone (760) 834-3593

415 S Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 346-7655

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

40075 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 340-3911

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

3555 Round Barn Cir
Santa Rosa, CA 95403
Phone (707) 528-1050

57725 29 Palms Hwy
Ste 201
Yucca Valley, CA 92284
Phone (760) 228-9900

Interoperability endpoints

  • Direct secure messaging: mvulchi124139@edirect.emc.org
  • Direct secure messaging: manasa.vulchi@stjoe.direct.varian.com
  • Direct secure messaging: mvulchi1658425@oc.providencedirect.org

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.

Hospital & facility affiliations 2

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1760739296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S Palm Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627303",
            "country_code": "US",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57725 29 Palms Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922843046",
            "country_code": "US",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45280 Seeley Dr",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536834",
            "country_code": "US",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40075 Bob Hope Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703945",
            "country_code": "US",
            "telephone_number": "760-346-7655",
            "fax_number": "760-834-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULCHI",
        "first_name": "MANASA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A161037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D79660",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvulchi1658425@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3555 Round Barn Cir",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954031757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.