Adrian Warren Mangio, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Thousand Oaks, CA
NPI 1124768569 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1124768569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 215 W Janss Rd
Graduate Medical Education
Thousand Oaks, CA 91360-1847 - Phone
- (805) 852-9216
- NPI assigned
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program |
390200000X | Yes |
Addresses
Primary practice location
215 W Janss Rd
Graduate Medical Education
Thousand Oaks, CA 91360-1847
Mailing address
215 W Janss Rd
Graduate Medical Education
Thousand Oaks, CA 91360-1847
Phone (805) 852-9216
Other providers in Thousand Oaks, CA
- Sarah Elizabeth Mancuso Rulon
- Debra Lorraine Mandel
- Kathryn Lynn Mandel
- Shayna J Alberle Mangers
- Michelle Mangini
- Many Mansions
- Maria Manzano
- Mehdi Manzari
- Gayle Ann Marano-Brown
- Marc S. Elson DDS, a Professional Corporation
All providers in Thousand Oaks, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.