Physician Compare National (NPI:1124298237)

HEALTHCARE PROVIDER: GAYTRI MANEK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124298237
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527240191
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120927000588
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANEK
	Individual professional last name
Provider First Name	GAYTRI
	Individual professional first name
Provider Middle Name	MD
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	11180 WARNER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 271
	Group Practice or individual's line 2 address
City	FOUNTAIN VALLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927087516
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050678
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ORANGE COAST MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050747
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH COAST GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050745
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHAPMAN GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050224
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y