MPR HEALTH GROUP (NPI# 1093254377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093254377 |
| Entity Type | Organization |
| Organization Name | MPR HEALTH GROUP |
| Other Organization Name | MANNIE JOEL, M.D. AND ASSOCIATES |
| Practice Address |
15035 E 14th St San Leandro CA 94578-1901 |
| Mailing Address |
1250 Fairmont Dr Suite A # 532 San Leandro CA 94578-3548 |
| Practice Telephone | 5102780226 |
| Practice Fax Number | 5102785054 |
| Mailing Telephone | 5107086272 |
| Mailing Fax Number | 5102785054 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | DR. KAREEM HUBBARD (C.E.O/OWNER) |
| Authorized Official Telephone | 2022791473 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A128252 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mannie Joel, M.D. and Associates | Doing Business As Name - Organization |
| Street Address |
15035 E 14TH ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003896549 | Paul Gillbanks | Anesthesiology | 15035 E 14th St, San Leandro, CA 94578-1901 | 2006-01-19 |
| 1831499607 | Gayle R Misle Md PC | Anesthesiology | 15035 E 14th St, San Leandro, CA 94578-1901 | 2010-10-27 |
| 1003116898 | 1800newhelp, LLC | Durable Medical Equipment & Medical Supplies | 15035 E 14th St, San Leandro, CA 94578-1901 | 2010-10-26 |
| 1922327097 | Kareem Hubbard | Physical Medicine & Rehabilitation | 15035 E 14th St, San Leandro, CA 94578-1901 | 2010-05-27 |
| 1891938676 | Mannie Joel Md Inc. | Clinic/Center | 15035 E 14th St, San Leandro, CA 94578-1901 | 2009-04-09 |
| 1184831489 | San Leandro Surgery Center | Physiological Laboratory | 15035 E 14th St, San Leandro, CA 94578-1901 | 2007-05-17 |
| 1811013907 | Joseph C. Cheng, M.d., Inc. | Orthopaedic Surgery | 15035 E 14th St, San Leandro, CA 94578-1901 | 2007-03-21 |
| 1770658726 | William F West | Specialist | 15035 E 14th St, San Leandro, CA 94578-1901 | 2006-11-22 |
| 1841374675 | Chuc Van Dang | Surgery | 15035 E 14th St, Ste A, San Leandro, CA 94578-1901 | 2006-10-25 |
| 1184705212 | Vila Phoulavan | Physician Assistant | 15035 E 14th St, San Leandro, CA 94578-1901 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803310 | Shrada Bhattarai | Physical Medicine & Rehabilitation | 14000 E 14th St, San Leandro, CA 94578-2714 | 2018-09-05 |
| 1922327097 | Kareem Hubbard | Physical Medicine & Rehabilitation | 15035 E 14th St, San Leandro, CA 94578-1901 | 2010-05-27 |
| 1982863759 | Jorge Kim | Physical Medicine & Rehabilitation | 15400 Foothill Blvd, San Leandro, CA 94578-1009 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.