Edwin Marcelo Mangune, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A120558 Issued in CA

Practice address

9604 Artesia Blvd Ste 102
Bellflower, CA 90706-8041

Phone

(562) 633-2021

Fax

(562) 408-6248

NPI assigned

Jul 27, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcelo-Mangune Medical Corporation

  • Primary Care Clinic/Center
  • Bellflower, CA
  • NPI 1437427119

  Family Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1003047978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068041",
            "telephone_number": "562-633-2021",
            "fax_number": "562-408-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068041",
            "telephone_number": "562-633-2021",
            "fax_number": "562-408-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUNE",
        "first_name": "EDWIN",
        "middle_name": "MARCELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A120558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen K Mai, DMD
• Jeffrey S. Mallin, MD
• David Mallon, LCSW
• Manale Rehabilitation Network Inc
• Veena N. Manchanda, MD
• Sangarappillai Manoharan, MD
• Dawn Rose-Marie Manriquez, NP-C
• Manuel Roman Dental Corp
• Chanelle Rose Manuel
• Karen E. Maples, MD

• Family Medicine Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.