PAVAN KUMAR MANKAL (NPI# 1760777320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760777320 |
| Entity Type | Individual |
| Full Name | PAVAN KUMAR MANKAL |
| Other Name | NONE NONE NONE |
| Credential | M.D. |
| Practice Address |
40404 California Oaks Rd Ste C Murrieta CA 92562-5786 |
| Mailing Address |
40404 California Oaks Road Ste C Murrieta CA 92562 |
| Practice Telephone | (951) 600-0288 |
| Mailing Telephone | (951) 600-0288 |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
128433 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Amsterdam Ave, Gme, Plant Building, Ground Fl, New York, NY 100251716 | 2125234000 | |
| 40404 California Oaks Rd Ste C, Murrieta, CA 925625786 | (951) 600-0288 |
| Street Address |
40404 CALIFORNIA OAKS RD STE C |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760822191 | Arian Teymoorian | Internal Medicine | 40404 California Oaks Rd Ste C, Murrieta, CA 92562-5786 | 2013-06-29 |
| 1033476262 | Thomas Michael Kemmerly | Internal Medicine | 40404 California Oaks Rd Ste C, Murrieta, CA 92562-5786 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598022303 | Kristina Marie Seeger | Internal Medicine | 28078 Baxter Rd Ste 530, Murrieta, CA 92563-1405 | 2012-04-18 |
| 1033476262 | Thomas Michael Kemmerly | Internal Medicine | 40404 California Oaks Rd Ste C, Murrieta, CA 92562-5786 | 2012-04-12 |
| 1780950105 | Huafeng Shen | Internal Medicine | 28078 Baxter Rd Ste 530, Murrieta, CA 92563-1405 | 2012-03-29 |
| 1821245382 | Southland Gi Medical Corporation A Professional Corporation | Internal Medicine | 25485 Medical Center Dr, Ste 104, Murrieta, CA 92562-6927 | 2008-08-26 |
| 1760645121 | James Chiming Kao | Internal Medicine | 28078 Baxter Rd, Suite 530, Murrieta, CA 92563-1402 | 2008-07-07 |
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| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
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| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.