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DIVYA MANOHARA
NPI 1477086122
Internal Medicine in San Luis Obispo, CA

Active since April 10, 2017PECOS Enrolled
1035 PEACH ST STE 301, SAN LUIS OBISPO, CA 93401(805) 369-8860 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2024, Apr 10, 2017 (2 updates tracked since 2017).

About Divya Manohara NPPES

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

DIVYA MANOHARA (NPI 1477086122) is an individual internal medicine provider in San Luis Obispo, California, licensed in California (A176136) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477086122
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIVYA MANOHARA
Location Address1035 PEACH ST STE 301San Luis Obispo, CA 93401-2700
Mailing Address1035 Peach St Ste 301San Luis Obispo, CA 93401-2700 · (805) 369-8860
Phone(805) 369-8860
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1477086122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A176136
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 PEACH ST STE 301, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Manohara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Divya Manohara's NPI number?

The NPI number for Divya Manohara is 1477086122. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Divya Manohara located?

Divya Manohara practices at 1035 Peach St Ste 301, San Luis Obispo, CA 93401. The listed phone number is (805) 369-8860.

What is Divya Manohara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Divya Manohara enrolled in Medicare?

Yes. Divya Manohara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Divya Manohara was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.