Veena Manjunath (NPI# 1255599270, PAC ID# 0042488058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1255599270 |
| PAC ID by PECOS | 0042488058 |
| Professional Enrollment ID | I20110719000173 |
| Full Name | Veena Manjunath |
| Organization Legal Name | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| Address |
125 Hospital Dr Vallejo CA 94589-2562 |
| Phone Number | 7076427510 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759377757 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| 050320 | HIGHLAND HOSPITAL |
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 5108410411 | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| 1411 E 31st St, Oakland, CA 94602-1018 | 5104374800 | ALAMEDA HEALTH SYSTEM |
| 125 Hospital Dr, Vallejo, CA 94589-2562 | 7076427510 | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 17% |
| Organization Legal Name | EAST BAY NEPHROLOGY MEDICAL GROUP, INC. |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen C Morrissey | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Oliver K Khakmahd | Nephrology | East Bay Nephrology Medical Group, Inc. | 3043 Summit St, Oakland, CA 94609-3408 |
| Robert B Doud | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Donald A Block | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Samuel J Wong | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Katherine Rausa | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Golaun Odabaei | Nephrology | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Suzanne D Lee | Registered Dietitian Or Nutrition Professional | East Bay Nephrology Medical Group, Inc. | 2905 Telegraph Ave, Berkeley, CA 94705-2017 |
| Bryan M Wong | Nephrology | East Bay Nephrology Medical Group, Inc. | 3043 Summit St, Oakland, CA 94609-3408 |
| Denise M Ricker | Nephrology | East Bay Nephrology Medical Group, Inc. | 125 Hospital Dr, Vallejo, CA 94589-2562 |
| Street Address |
125 HOSPITAL DR |
| City | VALLEJO |
| State | CA |
| Zip | 94589-2562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John V Selthafner | Anesthesiology | Sheridan Healthcare Services of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| James S Heinzen | Emergency Medicine | Emergency Physician Associates of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Andrew J Adamson | Diagnostic Radiology | Radiology Waukesha Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| John R Basarich | Hospitalist | Apogee Medical Group Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Kimi Brouhard | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare Services of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Brian P Curtin | Interventional Pain Management | Metropolitan Watertown LLC | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Beau D Boedecker | Physician Assistant | Shekhar A Dagam Md Neurological Surgery Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Carrie B Voedisch | Physician Assistant | Digestive Health Partners Pa | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Heather E Avellone | Nurse Practitioner | Apogee Medical Group Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Jason D Mclott | Certified Registered Nurse Anesthetist (crna) | Mission Community Anesthesiology Specialists LLC | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne K Ogata | Optometry | 4300 Sonoma Blvd, Suite 508, Vallejo, CA 94589-2210 | |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jamie S Baskett | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jonathan D Getz | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Serena M Wong | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Heather L Nelson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeremiah L Johnson | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Jeannie E Celestial | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Angel A Hurtado | Clinical Social Worker | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Allen T Mckee | Psychiatry | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Find all physicians in zip 94589 | |||
| City | VALLEJO |
| Zip Code | 94589 |
| Specialty | NEPHROLOGY |
| City + Specialty | VALLEJO + NEPHROLOGY |
Please comment or provide details below to improve the information on Veena Manjunath.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.