Individual provider Active NPI

Howard T Mango

  • Audiologist
  • Newport Beach, CA
National Provider Identifier
1013174929
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD379 Issued in CA
Practice address
500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663-4234
Phone
(949) 642-7935
Fax
(949) 642-2950
NPI assigned
May 19, 2008
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD379 CA Primary
Audiologist-Hearing Aid Fitter 237600000X AUD379 CA

Addresses

Primary practice location

500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663-4234

Mailing address

500 Old Newport Boulevard
Ste 101
Newport Beach, CA 92663
Phone (949) 642-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000406 CA Practitioner - Qualified Audiologist 2163478504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Virginia School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4234
Phone (949) 642-7935

Merit-based Incentive Payment System (MIPS)

Final score
99.36 of 100Reported as individual
Quality
96.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD379CAMDAudiologist
379CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Mesa Audiology Inc Audiologist-Hearing Aid Fitter CurrentSince Jul 27, 1977 Accepting new patients

Locations

500 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 274-8399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBA/Endpoint/EHFGBA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1013174929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BOULEVARD",
            "address_2": "STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BLVD",
            "address_2": "STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634234",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "HOWARD",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AUD379",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AUD379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.