Manteca Gastroenterology Group

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MANTECA GASTROENTEROLOGY GROUP

Practice address

1144 Norman Dr Ste 101
Manteca, CA 95336-5959

Phone

(209) 239-0515

NPI assigned

Aug 18, 2022

Last updated

May 15, 2024By 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

Dr. Ripudaman S Beniwal, MDNPI 1528039799

Title

Owner

Phone

(209) 239-0515

Specialties & licenses 1

Addresses

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.

• Ripudaman S Beniwal, MD

  • Gastroenterology Physician
  • Manteca, CA
  • NPI 1528039799
  Authorized official Same address or phone

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1992423685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR STE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365959",
            "telephone_number": "209-239-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR STE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365959",
            "telephone_number": "209-239-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTECA GASTROENTEROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BENIWAL",
        "authorized_official_first_name": "RIPUDAMAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-239-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florinda Galang Mallorca, M.D.
• Manteca Community Healthcare LLC (Manteca Assisted Living)
• Manteca District Volunteer Ambulance Service
• Manteca Emergency Physicians, a Medical Corporation
• Manteca Gastroenterology Associates Inc
• Manteca Medical Group, Inc
• Manteca Optometry
• Manteca Smiles
• Manteca Unified School District
• Manteca Urgent Care, Inc

• Gastroenterology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.