Active NPI
Mani Nambiar, M.D.
- Gynecology Physician
- Hemet, CA
National Provider Identifier
1861501025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A40026
- Practice address
- 130 S Buena Vista St
Hemet, CA 92543-4308 - Phone
- (951) 766-2760
- Fax
- (951) 929-5333
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A40026 | CA | Primary |
Addresses
Primary practice location
130 S Buena Vista St
Hemet, CA 92543-4308
Mailing address
130 S Buena Vista St
Hemet, CA 92543-4308
Phone (951) 766-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A400260 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40026 | CA | MD | General Practice Dentistry |
| A40026 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1861501025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S BUENA VISTA ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434308",
"telephone_number": "951-766-2760",
"fax_number": "951-929-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S BUENA VISTA ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434308",
"telephone_number": "951-766-2760",
"fax_number": "951-929-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMBIAR",
"first_name": "MANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A40026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A400260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.