Individual provider Active NPI

Zoltan Nagymanyoki, M.D., PH.D.

  • Anatomic Pathology Physician
  • San Luis Obispo, CA
National Provider Identifier
1275855488
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A129351 Issued in CA
Practice address
3701 S Higuera St
San Luis Obispo, CA 93401-7462
Phone
(805) 546-0907
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X A129351 CA
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X A129351 CA
Anatomic Pathology Physician 207ZP0101X A129351 CA Primary

Addresses

Primary practice location

3701 S Higuera St
San Luis Obispo, CA 93401-7462

Mailing address

PO Box 5007
San Luis Obispo, CA 93403-5007
Phone (805) 710-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240812002920 NV Practitioner - Pathology 4284874702 Reassigns benefits to 1 organization
I20250116004053 AZ Practitioner - Pathology 4284874702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

7455 W Washington Ave
Las Vegas, NV 89128-4337
Phone (702) 732-3441

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A129351CAMDMolecular Genetic Pathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD Cytopathology CurrentSince Jun 25, 2024 Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Dec 12, 2024 Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

File 749203
Los Angeles, CA 90074

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 425-0978

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3150 N Tenaya Way
Ste 515
Las Vegas, NV 89128
Phone (702) 360-0606

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1275855488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035007",
            "telephone_number": "805-710-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-546-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGYMANYOKI",
        "first_name": "ZOLTAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A129351",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "CA",
            "license": "A129351",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A129351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.