DR. CECILIA L. MANIBO


Address: 1 Washington Sq, San Jose, CA 95192-0037
Phone: 4089246140

DR. CECILIA L. MANIBO (NPI# 1770616922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770616922
Entity Type Individual
Full Name DR. CECILIA L. MANIBO
Credential M.D.
Practice Address 1 Washington Sq
San Jose
CA 95192-0037
Mailing Address 2040 Spanish Bay Ct
San Jose
CA 95138-2106
Practice Telephone 4089246140
Practice Fax Number 4089246104
Mailing Telephone 4082237189
Enumeration Date 2007-03-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G69758 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1 WASHINGTON SQ
City SAN JOSE
State CA
Zip Code 95192-0037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144869223 Claire Foster Psychologist 1 Washington Sq, San Jose, CA 95192-1112 2020-01-06
1417433657 Peitzu Tsai Speech-Language Pathologist 1 Washington Sq, San Jose, CA 95192-0079 2018-07-11
1528554839 Gina Marie Guglielmoni Specialist/Technologist 1 Washington Sq, San Jose, CA 95192-1000 2018-07-10
1780109330 Lisa Anne Palmer Student in an Organized Health Care Education/Training Program 1 Washington Sq, San Jose, CA 95192-1000 2017-08-04
1508215906 Samantha Calvet Specialist/Technologist 1 Washington Sq, San Jose, CA 95192-1000 2016-06-07
1881948560 Erin L Woodhead Psychologist 1 Washington Sq, San Jose, CA 95192-0120 2012-11-02
1740562065 Marcella Mccollum Speech-Language Pathologist 1 Washington Sq, Sh 115, San Jose, CA 95192-0079 2011-09-13
1225310444 Wendy Quach Speech-Language Pathologist 1 Washington Sq, San Jose, CA 95192-0079 2011-09-13
1912151382 Amy L. Moore Registered Nurse 1 Washington Sq, San Jose, CA 95192-3613 2008-11-11
1457534968 San Jose State University Student Health Center Clinic/Center 1 Washington Sq, San Jose, CA 95192-0037 2007-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326324 Kyungmo Han Specialist/Technologist Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 2020-08-11
1558589382 Barbara Fu Internal Medicine Sjsu Shc One Washington Sq, San Jose, CA 95192-0001 2007-04-24
1104856624 Jeb M Burns Specialist/Technologist One Washington Square, San Jose, CA 95192-0001 2006-07-03
1598702136 Jeffrey James Roberts Specialist/Technologist San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 2006-06-01
1013246628 Roger Karlsson Psychologist Department of Psychology, 1 Washington Sq, San Jose, CA 95192-0001 2009-12-09
1639203755 Harry John Cornbleet Internal Medicine San Jose State University Student Health Ctr, 1 Washington Sq, San Jose, CA 95192-0037 2007-03-14
1124230008 Robert Laurence Kronisch Family Medicine San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 2007-05-04
1306313085 Masaaki Tsuruike Preventive Medicine One Washington Square, San Jose, CA 95192-0054 2018-10-31
1013180488 Jennifer Gregg Psychologist Dept of Psychology, One Washington Square, San Jose, CA 95192-0120 2008-04-08
1407136872 Jenessa Bayda Social Worker School of Social Work, One Washington Square, San Jose, CA 95192-0124 2011-08-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922658723 Mai Medical, Inc. Family Medicine 2641 Senter Rd, San Jose, CA 95111-1122 2019-09-13
1740712421 Emily Hsiao Family Medicine 276 International Cir Unit D, San Jose, CA 95119-1130 2017-03-31
1629526264 John Heringer Family Medicine 2823 Cardinal Ln, San Jose, CA 95125-4800 2016-09-12
1598152043 Shoaib Khalid Family Medicine 6658 Mount Holly Dr, San Jose, CA 95120-1931 2015-04-22
1942604665 Kyaw Min Family Medicine 2395 Montpelier Dr Ste 4, San Jose, CA 95116-1619 2014-10-09
1679996151 Qingbo Sui Family Medicine 1870 Lundy Avenue, San Jose, CA 95131-1826 2014-02-04
1972938801 Claudine Lott Family Medicine 145 Nicholson Ln, San Jose, CA 95134 2013-09-11
1689016271 Valerie Halls Family Medicine 276 International Cir Unit G, San Jose, CA 95119-1130 2013-07-23
1114366572 Maryam Kalami Family Medicine 1451 Regalo Ct, San Jose, CA 95128-4523 2013-06-19
1750725511 Sreelata Kintala Family Medicine 746 The Alameda Ste 10, San Jose, CA 95126-3178 2013-04-24
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Competitor

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City SAN JOSE
Zip Code 95192

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Dataset Information

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.

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