Active NPI
Gil T Mantuano MD Inc
- Anesthesiology Physician
- Visalia, CA
National Provider Identifier
1285933713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A30125
- Legal business name
- GIL T MANTUANO MD INC
- Practice address
- 842 S Akers St
Visalia, CA 93277-8309 - Phone
- (559) 740-4094
- Fax
- (559) 740-4100
- NPI assigned
- Mar 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guillermo Tisbe Mantuano, MD
- Title
- Owner/President
- Phone
- (559) 740-4094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A30125 | CA | Primary |
Addresses
Primary practice location
842 S Akers St
Visalia, CA 93277-8309
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1285933713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 S AKERS ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778309",
"telephone_number": "559-740-4094",
"fax_number": "559-740-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIL T MANTUANO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-23",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "MANTUANO",
"authorized_official_first_name": "GUILLERMO",
"authorized_official_middle_name": "TISBE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "559-740-4094",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A30125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.