Individual provider Active NPI

Michael R Manolescu, M.D.

  • Emergency Medicine Physician
  • Barstow, CA
National Provider Identifier
1124072509
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G55086 Issued in CA
Practice address
555 S 7TH Street
Barstow Community Hospital
Barstow, CA 92311-1990
Phone
(760) 256-1761
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G55086 CA Primary

Addresses

Primary practice location

555 S 7TH Street
Barstow Community Hospital
Barstow, CA 92311-1990

Mailing address

2301 Gates Avenue,
Redondo Beach, CA 90278
Phone (213) 304-3759

Other identifiers 2

IdentifierTypeStateIssuer
00G550860MedicaidCA
00G55086MedicaidCA

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
I20040123000907 CA Practitioner - Emergency Medicine 7012819543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Southern California Keck School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55086CAMDPharmacist
G55086CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Indio Emergency Med Group Inc Emergency Medicine Past Accepting new patients
Memorial Emergency Physicians Medical Group, Inc Past Accepting new patients
Premier Emergency Physicians of California Medical Group PC Emergency Medicine Past Accepting new patients
Community Health Emergency Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1124072509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GATES AVENUE,",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "213-304-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 7TH STREET",
            "address_2": "BARSTOW COMMUNITY HOSPITAL",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923111990",
            "telephone_number": "760-256-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLESCU",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G55086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G550860",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G55086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.