Active NPI
John W Manning III
- Marriage & Family Therapist
- Banning, CA
National Provider Identifier
1144890963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1627 S Hargrave St
Banning, CA 92220-6169 - Phone
- (951) 419-5100
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1627 S Hargrave St
Banning, CA 92220-6169
Mailing address
PO Box 11681
San Bernardino, CA 92423-1681
Phone (909) 556-1348
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1144890963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11681",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924231681",
"telephone_number": "909-556-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 S HARGRAVE ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922206169",
"telephone_number": "951-419-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Email",
"affiliation": "N",
"address_1": "1627 S Hargrave St",
"city": "Banning",
"state": "CA",
"country_code": "US",
"postal_code": "922206169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.