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Deactivated NPI 1992816342 Deactivated / Inactive NPI Male Practitioner

Dr. John Richard Manis , MD

Plastic Surgery • Greenbrae, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Manis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date December 21, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Manis, MD was a registered Plastic Surgery practicing in Greenbrae, CA. Throughout an active medical career spanning 15 years, Dr. Manis provided care at the practice location at 350 BON AIR ROAD until profile deactivation on 2021-12-21.

Practice Location & Contact Primary Location

Practice Address

350 Bon Air Road
Suite 300

Greenbrae, CA 94904

Telephone 4159252880
Fax 4159252884
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Greenbrae, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Greenbrae, CA (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA C23461

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Lauren Voss , PA-C

Physician Assistant

NPI 1073904207

Physician Assistant (Certified)

Stanley Poulos

Plastic Surgery

NPI 1588715015
NPI 1639280001

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 21, 2021

Record deactivated on December 21, 2021

NPI Profile Active February 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 05, 2008

Registered at 350 BON AIR ROAD, SUITE 300, GREENBRAE, CA 94904 (Tel: 4159252880)

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Updated Business Mailing Address February 05, 2008

Registered at 350 BON AIR ROAD, SUITE 300, GREENBRAE, CA 94904 (Tel: 4159252880)

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Provider Name / Credentials Updated February 05, 2008

Recorded as JOHN MANIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2008

Plastic Surgery (License #C23461 in CA)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992816342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: February 05, 2008
Deactivation Date: December 21, 2021

Mailing Address

350 Bon Air Road, Suite 300

Greenbrae, CA 94904

Phone: 4159252880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.