Individual provider Active NPI

Francis Albert Mangaoang

  • Home Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1306684360
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
811660 Issued in NV
Practice address
10440 Fiore Rosa CT
Las Vegas, NV 89166-6681
Phone
(702) 862-6395
NPI assigned
Jul 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 811660 NV Primary

Addresses

Primary practice location

10440 Fiore Rosa CT
Las Vegas, NV 89166-6681

Mailing address

10440 Fiore Rosa CT
Las Vegas, NV 89166-6681
Phone (702) 862-6395

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
811660NVMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1306684360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 FIORE ROSA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666681",
            "telephone_number": "702-862-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 FIORE ROSA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666681",
            "telephone_number": "702-862-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAOANG",
        "first_name": "FRANCIS ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "811660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.