Active NPI
Ferdinand Reyes Mangasep Sr., PT
- Physical Therapist
- Buena Park, CA
National Provider Identifier
1245391879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29115
- Practice address
- 6888 Lincoln Ave Ste J2
Buena Park, CA 90620-4107 - Phone
- (657) 666-9288
- Fax
- (310) 862-1837
- NPI assigned
- Dec 13, 2006
- Last updated
- Mar 10, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29115 | CA | Primary |
Addresses
Primary practice location
6888 Lincoln Ave Ste J2
Buena Park, CA 90620-4107
Mailing address
7408 El Morro Way
Buena Park, CA 90620-2607
Phone (657) 465-4659
Other practice location 1
7408 El Morro Way
Buena Park, CA 90620-2607
Phone (951) 567-4526
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29115 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concepcion Mangasep M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Gardena, CA
- NPI 1013104025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1245391879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7408 EL MORRO WAY",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202607",
"telephone_number": "657-465-4659",
"fax_number": "310-862-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6888 LINCOLN AVE STE J2",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204107",
"telephone_number": "657-666-9288",
"fax_number": "310-862-1837"
}
],
"practiceLocations": [
{
"address_1": "7408 El Morro Way",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906202607",
"country_code": "US",
"telephone_number": "951-567-4526",
"fax_number": "310-862-1837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGASEP",
"first_name": "FERDINAND",
"middle_name": "REYES",
"name_suffix": "Sr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
- Pelilia Manalo
- Maria Montoya Manaloto, PT
- Manavi Dental Corporation (West Coast Dentalgroup of Buena Park)
- Manchester Therapy Group
- Concepcion R Mangasep, M. D.
- Janice Agaya Mariano
- Marie Yvette M.Buan DDS Inc.
- Sujin Marks, PTA
- Marque Medical Clinic, Inc. (Marque Urgent Care)
- Marqui Health Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.