Angela Gloria Manansala, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42024 Issued in AZ

Practice address

5861 N Oracle Rd
Tucson, AZ 85704-3813

Phone

(520) 293-6686

Fax

(520) 887-1736

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Al Shaafi Medical PC

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1316946445
  NPD (past)
• Pediatrics GPS, Inc

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1336758861
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1144259391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043813",
            "telephone_number": "520-293-6686",
            "fax_number": "520-887-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANSALA",
        "first_name": "ANGELA",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301063450",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "42024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "AM063450",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "436721",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104322316",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436721",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mana'Olana Speech Therapy
• Jason Jose Manakat, PA-C
• Nessa Marie Manalang, CRNA
• Justine Calazan Manalastas, DMD
• Maria Linda Manalo, NP
• Carly Mance, LPC
• Sanjay Manchanda, M.A. PH.D. LMFT
• Peter Jonathan Manchen, DO
• Kevin P Manchenton, PA-C
• Lorraine Hanna Manciet, MD

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.