Joseph Mayimba Mangala, MD-CE

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MDCE.ML.61500140 Issued in WA

Practice address

3020 S Union Ave
Tacoma, WA 98409-3317

Phone

(253) 844-4327

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
• Avamere Olympic Rehabilitation of Sequim Nursing home, Sequim, WA, CCN 505327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Medical Specialty Group

  • Internal Medicine Physician
  • Elma, WA
  • NPI 1548911811
  Care Compare group
• Care Center Ellensburg Inc

  • Skilled Nursing Facility
  • Ellensburg, WA
  • NPI 1881006633
  NPD (past)
• Mountain View SNF Healthcare LLC

  • Skilled Nursing Facility
  • Ellensburg, WA
  • NPI 1609625953
  NPD (past)
• Westwards Beach, LLC

  • Skilled Nursing Facility
  • Pullman, WA
  • NPI 1447051503
  NPD (past)

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

• Clallam County Public Hospital District 2

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation
• Sequim Rehabilitation LLC

  • Skilled Nursing Facility
  • Sequim, WA
  • NPI 1538146378

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1134993256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22415 16TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986458",
            "telephone_number": "206-786-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984093317",
            "telephone_number": "253-844-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGALA",
        "first_name": "JOSEPH",
        "middle_name": "MAYIMBA",
        "name_prefix": "Dr.",
        "credential": "MD-CE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MDCE.ML.61500140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Manassero, L.M., C.P.M.
• Ursula Helena Mancino
• Pelavi Mandalia, RN
• Deborah Mandel, PMHNP-BC
• Porsche Maneice, SLP
• Shilpa Priya Mangalampally
• Shruti Pramod Mangalore, MPT
• Zachary Michael Mangarin, RDH
• Ashley Mangum, MSW
• Joyce Manguru

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.

Verify at the official NPI Registry.