Active NPI
Antoun C. Manganas, M.D.
- Psychiatry Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A48860
- Practice address
- 3425 Coffee Rd Ste A2
Modesto, CA 95355-1582 - Phone
- (209) 491-7584
- Fax
- (209) 491-7584
- NPI assigned
- Aug 10, 2006
- Last updated
- Jan 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A48860 | CA | Primary |
Addresses
Primary practice location
3425 Coffee Rd Ste A2
Modesto, CA 95355-1582
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
1501 Claus Rd
Modesto, CA 95355
Phone (209) 524-9401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841413 | Medicaid | MI |
Other names 1
- Tony Manganas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Delbon Ave
Turlock, CA 95382-2008
Phone (209) 524-9401
1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 579-5628
3425 Coffee Rd
Suite A2
Modesto, CA 95355-1582
Phone (209) 524-9401
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48860 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Medical Foundation | Current | Accepting new patients | |
| Modesto Mental Health Consultants Inc a Professional Medical Corp | Current | Accepting new patients | |
| Seniors Wellness Group of Michigan, P.C. | Past | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients |
Locations
1501 Claus Rd
Modesto, CA 95355
Phone (209) 557-6300
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
250 W Main St
Woodland, CA 95695
Phone (916) 668-6100
Organizations & group practices 5
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.
-
- Neurology Physician
- Modesto, CA
- NPI 1932610847
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
dba Sutter Medical Foundation North Bay
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1710162292
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
-
- Clinical Psychologist
- Royal Oak, MI
- NPI 1801848718
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1114938974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071",
"fax_number": "916-854-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 COFFEE RD STE A2",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551582",
"telephone_number": "209-491-7584",
"fax_number": "209-491-7584"
}
],
"practiceLocations": [
{
"address_1": "1501 Claus Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "95355",
"country_code": "US",
"telephone_number": "209-524-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGANAS",
"first_name": "ANTOUN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A48860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841413",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "MANGANAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.