Concepcion Mangasep M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A66574 Issued in CA

Legal business name

CONCEPCION MANGASEP M.D., INC.

Practice address

2918 Marine Ave
Gardena, CA 90249-3637

Phone

(310) 327-1212

Fax

(818) 670-7892

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Concepcion R Mangasep, M.D.NPI 1861441701

Title

President

Phone

(213) 422-2920

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Concepcion Mangasep MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concepcion R Mangasep M.D, Inc.

  • Psychiatric Hospital Unit
  • Buena Park, CA
  • NPI 1356743017
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Concepcion R Mangasep, M. D.

  • Psychiatry Physician
  • Buena Park, CA
  • NPI 1861441701
  Medicare reassignment NPD Authorized official
• Ferdinand Reyes Mangasep Sr., PT

  • Physical Therapist
  • Buena Park, CA
  • NPI 1245391879
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1013104025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 PUERTO RICO DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201270",
            "telephone_number": "213-422-2920",
            "fax_number": "818-670-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 MARINE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493637",
            "telephone_number": "310-327-1212",
            "fax_number": "818-670-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION MANGASEP M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MANGASEP",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-422-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACO MENTAL HEALTH",
            "identifier": "123853",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A665740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Colon
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• Jacqueline Kyna Comitas
• Makayla Completo
• Comprehensive in-Home Healthcare Services, Inc.
• Carlos Manuel Concepcion Jr.
• Connect Hearing, Inc.
• Stephanie Karp Conner
• Fatima Carolina Contreras Ramirez
• Allan Contreras

• Specialist in Gardena, CA
• Providers in Gardena, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.