Manos Banbury Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MANOS BANBURY CORPORATION

Practice address

6061 Banbury St
San Diego, CA 92139-3624

Phone

(619) 475-2211

Fax

(619) 479-5326

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Pamela J Caddell

Title

Administrative Manager

Phone

(619) 475-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paradise Hills Convalescent Center Doing business as

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003811977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 BANBURY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393624",
            "telephone_number": "619-475-2211",
            "fax_number": "619-479-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 BANBURY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393624",
            "telephone_number": "619-475-2211",
            "fax_number": "619-479-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOS BANBURY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "619-475-2211"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18684F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Hills Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sreeganesh Manoharan, MD
• Adina Manolescu, DDS
• Andrea Manoocheri, FNP
• Julie P Manoogian, PSY.D.
• Manorama M Reddy M.D Inc
• Yamile Manosalva, CRNA
• Erendira Manriquez-Castillo, M.D.
• Josefina Manriquez-Castillo
• Jodyleen Hizon Manriquez-Nash, RN
• Andrea Manriquez

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.