MANTECA GASTROENTEROLOGY ASSOCIATES INC
NPI 1093599490
Clinic/Center - Ambulatory Surgical in Manteca, CA

Active since August 24, 2023CLIA 05D2327500 · Waiver
1144 NORMAN DR STE 101, MANTECA, CA 95336(209) 239-0515 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Manteca Gastroenterology Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANTECA GASTROENTEROLOGY ASSOCIATES INC (NPI 1093599490) is a healthcare organization registered as an ambulatory surgical in Manteca, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Ripudman S Beniwal, Owner, as its authorized official.

NPPES Registry Identity

NPI1093599490
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMANTECA GASTROENTEROLOGY ASSOCIATES INC
Location Address1144 NORMAN DR STE 101Manteca, CA 95336-5959
Mailing AddressPo Box 34120Reno, NV 89533-4120 · (775) 747-5050 · Fax (775) 747-5005
Organization SubpartNo
Authorized OfficialRipudman S BeniwalOwner · (775) 747-5050
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1093599490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1144 NORMAN DR STE 101, Manteca, CA 95336

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2327500

Manteca Gastroenterology Associates, Inc · Manteca, CA
Active · expires Jul 22, 2027
CLIA Number05D2327500
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRipudaman S. Beniwal
Laboratory Phone(209) 239-0515
Laboratory LocationManteca Gastroenterology Associates, Inc1144 Norman Dr #101, Manteca, CA 95336
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1144 NORMAN DR STE 101, 1530 N BESSIE AVE, STE104, TRACY CA 95376 ( 2ND OFFICE)
MANTECA, CA 95336
Internal Medicine (Gastroenterology)
1144 NORMAN DR STE 101
MANTECA, CA 95336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manteca Gastroenterology Associates Inc's NPI number?

The NPI number for Manteca Gastroenterology Associates Inc is 1093599490. It was assigned to this organization in the NPPES registry on August 24, 2023.

Where is Manteca Gastroenterology Associates Inc located?

Manteca Gastroenterology Associates Inc is located at 1144 Norman Dr Ste 101, Manteca, CA 95336. The listed phone number is (209) 239-0515.

What is Manteca Gastroenterology Associates Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Manteca Gastroenterology Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2327500) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manteca Gastroenterology Associates Inc was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.