Michael S Mancina MD and Asssociates of California

Primary specialty

SpecialistTaxonomy code 174400000X

License

R1G55 Issued in MO

Legal business name

MICHAEL S MANCINA MD AND ASSSOCIATES OF CALIFORNIA

Practice address

22101 Redwood Rd
Castro Valley, CA 94546-7107

Phone

(816) 888-8866

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Michael Mancina

Title

MD

Phone

(913) 888-8866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1063739340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 43RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113133",
            "telephone_number": "913-888-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945467107",
            "telephone_number": "816-888-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S MANCINA MD AND ASSSOCIATES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MANCINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "913-888-8866"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R1G55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.