MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1497147847
Internal Medicine in Hemet, CA

Q: What is Manikanda Raja MD A Professional Medical Corporation's specialty?

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

Active since February 23, 2015CLIA 05D0948090 · Waiver

1701 E FLORIDA AVE, HEMET, CA 92544(951) 658-4486(951) 925-1666 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Manikanda Raja Md A Professional Medical Corporation NPPES

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

MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1497147847) is a healthcare organization registered as an internal medicine in Hemet, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Manikanda Raja, President, as its authorized official.

NPPES Registry Identity

NPI1497147847

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION

Location Address1701 E FLORIDA AVEHemet, CA 92544-4632

Mailing Address1701 E Florida AveHemet, CA 92544-4632 · (951) 658-4486 · Fax (951) 925-1666

Phone(951) 658-4486

Fax(951) 925-1666

Organization SubpartNo

Authorized OfficialManikanda RajaPresident · (951) 658-4486

Enumeration DateFebruary 23, 2015

Last NPPES UpdateApril 9, 2015

✔ NPI 1497147847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

1701 E FLORIDA AVE, Hemet, CA 92544

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D0948090

Manikanda Raja, MD · Hemet, CA

Active · expires Jun 30, 2028

CLIA Number05D0948090

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorManikanda Raja MD

Laboratory Phone(951) 658-4486

Laboratory LocationManikanda Raja, MD1701 E Florida Ave, Hemet, CA 92544

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. JUDITH ARANAS IKEZUAGU M.D.

Family Medicine