Manumalo Jacob Muasau

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

22712 Foothill Blvd
Hayward, CA 94541-4208

Phone

(510) 856-9760

NPI assigned

Aug 11, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Richmond Area Multi-Services, Inc.

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1932670031
  NPD (past)

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1013563626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22712 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414208",
            "telephone_number": "510-856-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22712 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414208",
            "telephone_number": "510-856-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUASAU",
        "first_name": "MANUMALO",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Edward Mousa, LMFT
• William S. Mow, MD
• Susana Moynihan
• Mercy Moyo
• Olivia Mroz-Fields
• Mudlee Management Group, LLC
• Zane Mufty
• Aameera Jenna Muhammad Norris
• Khalidah Muhammad
• Messiah Muhammad

• Community Health Worker in Hayward, CA
• Providers in Hayward, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.