Active NPI
Charity Susan Manning
- Pathology Technician
- Pleasanton, CA
National Provider Identifier
1063269330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Technician
- License
- CPT-01009835
- Practice address
- 1 California Ave. Suite a
1 California Ave. Suite a
Pleasanton, CA 94566 - Phone
- (925) 967-3537
- NPI assigned
- May 3, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | CPT-01009835 | CA | |
| Phlebotomy Technician | 246RP1900X | CPT-01009835 | CA | |
| Pathology Technician | 246R00000X | CPT-01009835 | CA | Primary |
Addresses
Primary practice location
1 California Ave. Suite a
1 California Ave. Suite a
Pleasanton, CA 94566
Mailing address
1 California Ave.
Suite a
Pleasanton, CA 94566
Phone (925) 297-7845
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-01009835 | CA | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Med Services | Laboratory Management | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1063269330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALIFORNIA AVE.",
"address_2": "SUITE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94566",
"telephone_number": "925-297-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALIFORNIA AVE. SUITE A",
"address_2": "1 CALIFORNIA AVE. SUITE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94566",
"telephone_number": "925-967-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "CHARITY",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "CA",
"license": "CPT-01009835",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT-01009835",
"primary": false
},
{
"code": "246R00000X",
"taxonomy_group": "",
"desc": "Technician, Pathology",
"state": "CA",
"license": "CPT-01009835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.