Active NPI
Mandy Marlene Jobe McManis, DC
- Chiropractor
- Hayward, CA
National Provider Identifier
1023525243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33787
- Practice address
- 22316 Main St
Hayward, CA 94541-4007 - Phone
- (510) 899-1432
- Fax
- (510) 889-1448
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33787 | CA | Primary |
Addresses
Primary practice location
22316 Main St
Hayward, CA 94541-4007
Mailing address
1627 Sylvia St
Hayward, CA 94545-2563
Phone (510) 600-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33787 | Other | CA | CHIROPRACTIC LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1023525243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 SYLVIA ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452563",
"telephone_number": "510-600-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22316 MAIN ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414007",
"telephone_number": "510-899-1432",
"fax_number": "510-889-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANIS",
"first_name": "MANDY",
"middle_name": "MARLENE JOBE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE NUMBER",
"identifier": "33787",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.