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

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, MD

Title

Owner

Phone

(209) 239-0515

Specialties & licenses 1

Addresses

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 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.