Individual provider Active NPI

Manisha Harish Ramchandani, DENTIST

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1821218298
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53478 Issued in CA
Practice address
12157 Victory Blvd
North Hollywood, CA 91606-3204
Phone
(818) 755-8000
Fax
(818) 755-8006
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53478 CA Primary

Addresses

Primary practice location

12157 Victory Blvd
North Hollywood, CA 91606-3204

Mailing address

3232 Sawtelle Blvd Apt 107
Los Angeles, CA 90066-1616
Phone (818) 755-8000

Other identifiers 1

IdentifierTypeStateIssuer
FHC71013FMedicaidCA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53478CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1821218298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 SAWTELLE BLVD APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661616",
            "telephone_number": "818-755-8000",
            "fax_number": "818-755-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063204",
            "telephone_number": "818-755-8000",
            "fax_number": "818-755-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHANDANI",
        "first_name": "MANISHA",
        "middle_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71013F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.