Individual provider Active NPI

David C Manago, D.C.

  • Chiropractor
  • Ladera Ranch, CA
National Provider Identifier
1063459964
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 14686 Issued in CA
Practice address
777 Corporate Dr
Ste 130
Ladera Ranch, CA 92694-2136
Phone
(949) 364-5656
Fax
(949) 364-9021
NPI assigned
May 31, 2006
Last updated
Jan 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 14686 CA Primary

Addresses

Primary practice location

777 Corporate Dr
Ste 130
Ladera Ranch, CA 92694-2136

Mailing address

777 Corporate Drive
Ste 130
Ladera Ranch, CA 92694-2136
Phone (949) 364-5656

Other identifiers 2

IdentifierTypeStateIssuer
330685783OtherCATAX ID
DC0146860OtherCAINSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000725 CA Practitioner - Chiropractic 5395807945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 Corporate Dr
Suite 130
Ladera Ranch, CA 92694-2136
Phone (949) 364-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC 14686CAMDChiropractor
14686CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manago Chiropractic Inc Chiropractor CurrentSince Jul 29, 2010 Accepting new patients
My Center for Chiropractic & Anti-Aging Medicine Inc Chiropractor Past Accepting new patients

Locations

777 Corporate Dr
Ste 130
Ladera Ranch, CA 92694
Phone (949) 364-5656

26990 Crown Valley Pkwy
Ste C
Mission Viejo, CA 92691
Phone (949) 364-5656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1063459964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DRIVE",
            "address_2": "STE 130",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942136",
            "telephone_number": "949-364-5656",
            "fax_number": "949-364-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR",
            "address_2": "STE 130",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942136",
            "telephone_number": "949-364-5656",
            "fax_number": "949-364-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAGO",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 14686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "330685783",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "DC0146860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.