Lora A Mangiafico, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6062 Issued in AZ

Practice address

2940 E Banner Gateway Dr
Suite 200
Gilbert, AZ 85234-2168

Phone

(480) 964-2908

Fax

(480) 833-2136

NPI assigned

Oct 16, 2008

Last updated

Nov 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hope Diabetes Center, LLC

  dba Clinica Esperanza-Hope Primary Care, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757
  Medicare reassignment NPD
• I Am Wellness Az LLC

  • Adult Medicine Physician
  • Chandler, AZ
  • NPI 1184354532
  Medicare reassignment NPD
• Maria Gonzalez Berlari, MD LLC

  dba GB Family Care, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1699025981
  Medicare reassignment NPD
• Michael F Esber DPM PC

  • Foot Surgery Podiatrist
  • Sun City West, AZ
  • NPI 1902907504
  Medicare reassignment NPD
• New Hope Behavioral Health Center Inc

  • Health Service Clinic/Center
  • Mesa, AZ
  • NPI 1992387112
  Medicare reassignment NPD
• Progressive Pain Management Inc

  • Interventional Pain Medicine Physician
  • Casa Grande, AZ
  • NPI 1881866754
  Medicare reassignment NPD
• Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295056919
  Medicare reassignment
• Az Endocrine Institute, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Chandler, AZ
  • NPI 1578583951
  Medicare reassignment
• Bmi423I

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1407683162
  NPD

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1043462526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271429",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271429",
            "telephone_number": "602-772-3800",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR",
            "address_2": "SUITE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342168",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIAFICO",
        "first_name": "LORA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6062",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "AP2630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Malmin
• Lauri Neil Malolo, B.A., R.D.H.
• Jody J Maluski, PT
• Nicole Manchak, DNP
• Yogya Sreeharshini Mandali, PHARMD
• Lauren Kay Manion
• Mariano Vittorio Maniscalco, DO
• James A Mankin, M.D.
• Russell Worth Manktelow, D.C.
• Brianna Mannetter

• Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.