Organization Active NPI

Sohail Manzoor, M.D., Inc

  • Preferred Provider Organization
  • Victorville, CA
National Provider Identifier
1275980310
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A132832 Issued in CA
Legal business name
SOHAIL MANZOOR, M.D., INC
Practice address
12830 Hesperia Rd
Suite D
Victorville, CA 92395-7788
Phone
(760) 981-7452
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Nena Maciel
Title
Manager
Phone
(760) 981-7452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A132832 CA Primary

Addresses

Primary practice location

12830 Hesperia Rd
Suite D
Victorville, CA 92395-7788

Mailing address

12740 Hesperia Rd
Suite B
Victorville, CA 92395-8306
Phone (760) 981-7452

National Provider Directory

National Provider Directory

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

16027 Brookhurst St
Ste I743
Fountain Valley, CA 92708

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": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1275980310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD",
            "address_2": "SUITE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-981-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA RD",
            "address_2": "SUITE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-981-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAIL MANZOOR, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MACIEL",
        "authorized_official_first_name": "NENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-981-7452"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A132832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.