Mani Nallasivan M D Inc a Professional Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A44096 Issued in CA

Legal business name

MANI NALLASIVAN M D INC A PROFESSIONAL CORPORATION

Doing business as

Merced Vein & Vascular Center

Practice address

424 E Yosemite Ave
Suite a
Merced, CA 95340-8499

Phone

(209) 383-3456

NPI assigned

Feb 20, 2012

Last updated

Mar 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mani Nallasivan, M.D.NPI 1639171606

Title

Chief Executive Officer / Owner

Phone

(209) 723-6882

Specialties & licenses 2

Addresses

Other names 1

• Merced Vein & Vascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mani Nallasivan, M.D.

  • Cardiovascular Disease Physician
  • Merced, CA
  • NPI 1639171606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1982977054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408499",
            "telephone_number": "209-723-6882",
            "fax_number": "209-723-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408499",
            "telephone_number": "209-383-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI NALLASIVAN M D INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "NALLASIVAN",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / OWNER",
        "authorized_official_telephone_number": "209-723-6882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A44096",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A44096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Vein & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Merced Vein & Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoeli Angelita Mancilla Becerra, N/A
• Yoeli Mancilla
• Pablo Mandujano
• Satara Marie Maness
• Umengsinh Gamelsinh Mangrola, PA
• Maniberry Healthcare Services (Maniberry Medical Center)
• Manolito Castillo, M.D., Inc.
• Rosalinda Mansfield, CASE MANAGER
• Ken Christoph Manu
• Jacqueline Guadalupe Manzo Maravilla

• Interventional Cardiology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.