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MANTECA GASTROENTEROLOGY GROUP
NPI 1992423685
Internal Medicine - Gastroenterology in Manteca, CA

Active since August 18, 2022CLIA 05D2327500 · Waiver
1144 NORMAN DR STE 101, MANTECA, CA 95336(209) 239-0515 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2024, Aug 18, 2022 (2 updates tracked since 2022).

About Manteca Gastroenterology Group NPPES

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

MANTECA GASTROENTEROLOGY GROUP (NPI 1992423685) is a healthcare organization registered as a gastroenterology in Manteca, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Ripudaman S Beniwal, Owner, as its authorized official.

NPPES Registry Identity

NPI1992423685
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMANTECA GASTROENTEROLOGY GROUP
Location Address1144 NORMAN DR STE 101Manteca, CA 95336-5959
Mailing Address1144 Norman Dr Ste 101Manteca, CA 95336-5959 · (209) 239-0515
Phone(209) 239-0515
Organization SubpartNo
Authorized OfficialRipudaman S BeniwalOwner · (209) 239-0515
Enumeration DateAugust 18, 2022
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1992423685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1144 NORMAN DR STE 101, Manteca, CA 95336
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 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: 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.

MANTECA GASTROENTEROLOGY ASSOCIATES INC
Clinic/Center (Ambulatory Surgical)
1144 NORMAN DR STE 101
MANTECA, CA 95336
San Joaquin County (209) 239-0515
MR. RIPUDAMAN S BENIWAL MD
Internal Medicine (Gastroenterology)
1144 NORMAN DR STE 101, 1530 N BESSIE AVE, STE104, TRACY CA 95376 ( 2ND OFFICE)
MANTECA, CA 95336
San Joaquin County (209) 239-0515

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 Group's NPI number?

The NPI number for Manteca Gastroenterology Group is 1992423685. It was assigned to this organization in the NPPES registry on August 18, 2022.

Where is Manteca Gastroenterology Group located?

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

What is Manteca Gastroenterology Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Manteca Gastroenterology Group 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 Group was last updated on May 15, 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.