Life Line Community Healthcare California

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

33259 Issued in CA

Legal business name

LIFE LINE COMMUNITY HEALTHCARE CALIFORNIA

Practice address

25350 Magic Mountain Pkwy Ste 300
Valencia, CA 91355-1356

Phone

(888) 388-3781

Fax

(866) 345-6156

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Manganaro, M.D.

Title

Owner

Phone

(888) 388-3781

Specialties & licenses 1

Addresses

Other names 1

• Life Line Community Healthcare-CA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen J. McCracken, M.D.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1891745253
  NPD

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1033519657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 OAK TREE BLVD STE 301",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312585",
            "telephone_number": "888-388-3781",
            "fax_number": "866-345-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "888-388-3781",
            "fax_number": "866-345-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE COMMUNITY HEALTHCARE CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MANGANARO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-388-3781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "33259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Line Community Healthcare-CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Li, M.D.
• Hongtao Liang
• Katelyn J Liao, PHARMD
• Jennie H. Lien, N.P.
• Life Lanscaping, Inc
• Lifepoint Rehab Physician Services LLC
• Mark Andrew Liker, M.D.
• Sally Jo Liljedahl, LCSW
• Lilly Rose Marshall Medical Corp.
• Dana Limon

• Public Health & General Preventive Medicine Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.