Active NPI
Manjul S Dixit, MD
- Allergy & Immunology Physician
- Atherton, CA
National Provider Identifier
1922064963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G84174
- Practice address
- 3301 El Camino Real
Ste 101
Atherton, CA 94027-3812 - Phone
- (650) 556-9577
- Fax
- (650) 556-0655
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G84174 | CA | Primary |
Addresses
Primary practice location
3301 El Camino Real
Ste 101
Atherton, CA 94027-3812
Mailing address
3301 El Camino Real
Ste 101
Atherton, CA 94027-3812
Phone (650) 556-9577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMM00087M | Other | NHIC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84174 | CA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1922064963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 EL CAMINO REAL",
"address_2": "STE 101",
"city": "ATHERTON",
"state": "CA",
"postal_code": "940273812",
"telephone_number": "650-556-9577",
"fax_number": "650-556-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 EL CAMINO REAL",
"address_2": "STE 101",
"city": "ATHERTON",
"state": "CA",
"postal_code": "940273812",
"telephone_number": "650-556-9577",
"fax_number": "650-556-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXIT",
"first_name": "MANJUL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G84174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC",
"identifier": "MMM00087M",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Atherton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.