MANISH KUMAR WADHWA (NPI# 1679589329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679589329 |
| Entity Type | Individual |
| Full Name | MANISH KUMAR WADHWA |
| Credential | M.D. |
| Practice Address |
501 Washington St Suite 512 San Diego CA 92103-2231 |
| Practice Telephone | 6192970014 |
| Practice Fax Number | 6192971014 |
| Mailing Telephone | 6192970014 |
| Mailing Fax Number | 6192971014 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
G84648 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | X-RAY/FLUOROSCOPY | RHC150029 | 01 |
| CA | 00G846480 | 05 |
| Street Address |
501 WASHINGTON ST SUITE 512 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726117 | Daniel J. Bressler, M.d., Inc. | Internal Medicine | 501 Washington St, Suite 705, San Diego, CA 92103-2231 | 2005-08-02 |
| 1639686496 | Marie Melanie Deetjen | Nurse Practitioner | 501 Washington St, San Diego, CA 92103-2231 | 2018-01-03 |
| 1629518246 | Chin Jung Jien Chang | Nurse Practitioner | 501 Washington St, San Diego, CA 92103-2231 | 2017-03-01 |
| 1013459478 | Amy Rosenbaum | Physician Assistant | 501 Washington St, San Diego, CA 92103-2231 | 2016-11-15 |
| 1295100683 | Felicity Nga Ying Fung | Nurse Practitioner | 501 Washington St, Suite 512, San Diego, CA 92103-2231 | 2015-12-10 |
| 1932505831 | Hilary Beth Hill | Nurse Practitioner | 501 Washington St, Suite 600, San Diego, CA 92103-2231 | 2014-11-05 |
| 1063834331 | Karissa Bartholme | Physician Assistant | 501 Washington St, San Diego, CA 92103 | 2014-01-06 |
| 1447695465 | San Diego Heart Rhythm Center A Medical Corporation | Internal Medicine | 501 Washington St, Suite 512, San Diego, CA 92103-2231 | 2013-05-03 |
| 1578883971 | Leonard S Bernstein M D Inc | Internal Medicine | 501 Washington St, #508, San Diego, CA 92103-2231 | 2010-06-08 |
| 1871817312 | Patrick W Blake | Dermatology | 501 Washington St, Suite 502, San Diego, CA 92103-2231 | 2010-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1487651154 | Helen Elizabeth Noll | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2005-07-07 |
| 1346516069 | Gordon Ho | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2012-03-27 |
| 1679747448 | Brett A Gidney Md A Medical Corporation | Internal Medicine | 5555 Reservoir Dr, Suite 112, San Diego, CA 92120-5134 | 2008-04-14 |
| 1427255967 | Frederick Tehbek Han | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2007-06-28 |
| 1427176338 | Regents of University of California - Ucsd Medical Group | Internal Medicine | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2007-03-27 |
| 1841322195 | Kurt Stephen Hoffmayer | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-03-12 |
| 1609924554 | Brant Chin Zen Liu | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1346398179 | Sardul J. Singh | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1285708628 | Joseph B Stein, Md, Facc, Inc | Internal Medicine | 4060 4th Ave, Suite 205, San Diego, CA 92103-2116 | 2006-11-18 |
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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.