Active NPI
Yash P Manchanda, PHD
- Psychologist
- Pomona, CA
National Provider Identifier
1922028240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9836
- Practice address
- 3530 W Pomona Blvd
Pomona, CA 91769-0100 - Phone
- (909) 595-1221
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9836 | CA | Primary |
Addresses
Primary practice location
3530 W Pomona Blvd
Pomona, CA 91769-0100
Mailing address
1600 9TH St
RM 205 Mailstop 2-3
Sacramento, CA 95814-6414
Phone (916) 654-2431
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110620000189 | CA | Practitioner - Clinical Psychologist | 1456539543 | Practice locations: Anaheim, CA; Stanton, CA; Yorba Linda, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5675 Scotch Pine RDG
Yorba Linda, CA 92886-5199
Phone (714) 488-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY9836 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California - Department of Developmental Services | Past | Accepting new patients | |
| Steven D Macina DO a Professional Medical Corporation | Past | Accepting new patients | |
| New Horizon Lodge,Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Assisted Living Facility
- Stanton, CA
- NPI 1235609793
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1093085565
-
- Psychiatry Physician
- Huntington Beach, CA
- NPI 1528164332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1922028240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 9TH ST",
"address_2": "RM 205 MAILSTOP 2-3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958146414",
"telephone_number": "916-654-2431",
"fax_number": "916-654-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 W POMONA BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917690100",
"telephone_number": "909-595-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHANDA",
"first_name": "YASH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.