Organization Active NPI

Mane MD

  • Prosthetic/Orthotic Supplier
  • Anaheim, CA
National Provider Identifier
1265239271
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MANE MD
Practice address
1818 S St College Blvd Unit 305
Anaheim, CA 92806-8911
Phone
(972) 439-8388
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Adaora Ewulu, MDNPI 1164118261
Title
Owner
Phone
(972) 439-8388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1818 S St College Blvd Unit 305
Anaheim, CA 92806-8911

Mailing address

1818 S St College Blvd Unit 305
Anaheim, CA 92806-8911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1265239271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S ST COLLEGE BLVD UNIT 305",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928068911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S ST COLLEGE BLVD UNIT 305",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928068911",
            "telephone_number": "972-439-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "EWULU",
        "authorized_official_first_name": "ADAORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-439-8388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.