Physician Compare National (NPI:1891950234)

HEALTHCARE PROVIDER: NEIL RAMESH MANEK M.D.

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

Individual Professional Information
NPI	1891950234
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890932271
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170111001425
	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	NEIL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6103811286
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	12665 GARDEN GROVE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 211
	Group Practice or individual's line 2 address
City	GARDEN GROVE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	928431916
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7146362890
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050069
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050746
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORANGE COUNTY GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050168
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST JUDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y