Organization Active NPI

Manix Medical Inc

  • Neurological Surgery Physician
  • El Centro, CA
National Provider Identifier
1063942993
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Mar 4, 2020

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.