Active NPI
Manal Rita Michael, MD
- General Practice Physician
- Cathedral City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A71821
- Practice address
- 69 696 Ramon Road
Cathedral City, CA 92234-1660 - Phone
- (760) 770-6200
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A71821 | CA | Primary |
Addresses
Primary practice location
69 696 Ramon Road
Cathedral City, CA 92234-1660
Mailing address
1600 9TH Street
Room 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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
69696 Ramon Rd
Cathedral City, CA 92234-3353
Phone (760) 770-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A71821 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| State of California - Department of Developmental Services | Past | Accepting new patients |
Locations
69696 Ramon Rd
Cathedral Cty, CA 92234
Phone (760) 770-6200
3530 Pomona Blvd
Pomona, CA 91768
Phone (909) 444-7200
26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lanterman Developmental Center
- General Acute Care Hospital
- Pomona, CA
- NPI 1154372498
-
dba Canyon Springs Community Facility
- Intellectual Disabilities Intermediate Care Facility
- Cathedral City, CA
- NPI 1730130097
-
dba Lanterman Community Clinic
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1093085565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942246103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 9TH STREET",
"address_2": "ROOM 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": "69 696 RAMON ROAD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922341660",
"telephone_number": "760-770-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MANAL",
"middle_name": "RITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A71821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.