MANNIE JOEL MD INC. – NPI #1891938676
Clinic/Center

MANNIE JOEL MD INC. is an AHC clinic located in SAN LEANDRO, CA. NPPES has assigned the NPI number 1891938676 to MANNIE JOEL MD INC. on April 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 16 years ago on Jun 29, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANNIE JOEL MD INC. below.

NPI Profile for
MANNIE JOEL MD INC.

NPI Number
1891938676
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANNIE JOEL MD INC.
Primary location
15035 E 14TH ST
SAN LEANDRO, CA 94578-1901
Phone: (510) 278-0226 Fax: (510) 278-5054
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SELENA MAINARICK
OFFICE MANAGER
Phone: (510) 278-0226
Updated
Identifiers

Identifiers for MANNIE JOEL MD INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A344600/1720043599
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)
CA A34460

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.