Individual provider Active NPI

Antoun C. Manganas, M.D.

  • Psychiatry Physician
  • Modesto, CA
National Provider Identifier
1114938974
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A48860 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841413MedicaidMI

Other names 1

  • Tony Manganas Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000453 CA Practitioner - Psychiatry 5294836896 Reassigns benefits to 2 organizations

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
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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

LicenseStateTypeSpecialty
A48860CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Medical Foundation CurrentSince Jan 5, 2026 Accepting new patients
Modesto Mental Health Consultants Inc a Professional Medical Corp CurrentSince May 7, 2019 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.