ANITA MANTHA (NPI# 1598008740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598008740 |
| Entity Type | Individual |
| Full Name | ANITA MANTHA |
| Credential | M.D. |
| Practice Address |
1071 Blossom Hill Rd San Jose CA 95123-1105 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 4084454020 |
| Mailing Telephone | 4084454020 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | C167273 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1071 BLOSSOM HILL RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992830566 | Lawrence Zieske | Family Medicine | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2007-02-22 |
| 1669823225 | Yang Xie | Family Medicine | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2016-06-24 |
| 1467871590 | Michelle Yaolin Cheng | Dermatology | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2014-04-16 |
| 1871911347 | Bali Kaur Gill | Internal Medicine | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2014-04-02 |
| 1134477185 | Lan Huynh | Physician Assistant | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2012-08-23 |
| 1033485461 | Kathryn Joyce Martires | Dermatology | 1071 Blossom Hill Rd, San Jose, CA 95123-1105 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424217 | Bay Area Pediatric Primary Care Inc. | Pediatrics | 244 N Jackson Ave Ste 203, San Jose, CA 95116-1604 | 2018-01-09 |
| 1912399478 | Myron Lee Stone | Pediatrics | 2101 Forest Ave Ste 130, San Jose, CA 95128-1424 | 2015-02-20 |
| 1205243763 | George Shin Han | Pediatrics | 976 Lenzen Ave Ste 1100, San Jose, CA 95126-2737 | 2014-07-16 |
| 1033537006 | Sphoorti D. Umarjee | Pediatrics | 276 International Cir Fl 1, San Jose, CA 95119-1130 | 2014-04-06 |
| 1508209453 | Richard Anthony Cirone Sr. | Pediatrics | 1645 Peregrino Way, San Jose, CA 95125-4547 | 2013-04-10 |
| 1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
| 1699034199 | Amina Ahmed | Pediatrics | 2577 Samaritan Dr Ste 830, San Jose, CA 95124-4109 | 2012-05-04 |
| 1801166442 | Catherine S Yao | Pediatrics | 750 South Bascom Avenue, San Jose, CA 95128 | 2012-01-12 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1134459852 | Priyansha Sen Jamwal | Pediatrics | 80 Descanso Dr Unit 1317, San Jose, CA 95134-1829 | 2009-12-31 |
| Find all providers in SAN JOSE | ||||
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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.