Individual provider Active NPI

Frank A. Mangano, M.D.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Murrieta, CA
National Provider Identifier
1265467252
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
G59299 Issued in CA
Practice address
40700 California Oaks Rd
Suite 103
Murrieta, CA 92562-5789
Phone
(951) 894-4418
Fax
(951) 894-4419
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X G59299 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd
Suite 103
Murrieta, CA 92562-5789

Mailing address

44489 Town Center Way Ste D540
Palm Desert, CA 92260-2723
Phone (951) 304-9779

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59299CAMDDiagnostic Neuroimaging (Radiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1265467252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44489 TOWN CENTER WAY STE D540",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602723",
            "telephone_number": "951-304-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "address_2": "SUITE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-894-4418",
            "fax_number": "951-894-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "FRANK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "G59299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.