Active NPI
Manix Medical Inc
- Neurological Surgery Physician
- El Centro, CA
National Provider Identifier
1063942993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MANIX MEDICAL INC
- Practice address
- 1500 S Imperial Ave
El Centro, CA 92243-4241 - Phone
- (760) 693-2600
- Fax
- (844) 965-9813
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Manix, MD
- Title
- Ceo
- Phone
- (760) 693-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1500 S Imperial Ave
El Centro, CA 92243-4241
Mailing address
PO Box 550
El Centro, CA 92244-0550
Phone (760) 693-2600
Other practice location 1
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
Other practice location 2
1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-7495
National Provider Directory
National Provider DirectoryLocations
1440 W State St
El Centro, CA 92243
Phone (760) 693-2427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1063942993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922440550",
"telephone_number": "760-693-2600",
"fax_number": "844-965-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434241",
"telephone_number": "760-693-2600",
"fax_number": "844-965-9813"
}
],
"practiceLocations": [
{
"address_1": "207 W Legion Rd",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922277780",
"country_code": "US",
"telephone_number": "760-351-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Ross Ave",
"address_purpose": "LOCATION",
"city": "El Centro",
"state": "CA",
"postal_code": "922434306",
"country_code": "US",
"telephone_number": "760-339-7495",
"fax_number": "760-352-7612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MANIX MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-13",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "MANIX",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-693-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.