Active NPI
Manago Chiropractic Inc
- Chiropractor
- Ladera Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC14686
- Legal business name
- MANAGO CHIROPRACTIC INC
- Practice address
- 777 Corporate Dr Ste 130
Ladera Ranch, CA 92694-2136 - Phone
- (949) 364-5656
- Fax
- (949) 364-9021
- NPI assigned
- Feb 23, 2007
- Last updated
- Jan 31, 2021
- 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
- David C Manago, DC
- Title
- Director
- Phone
- (949) 364-5656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC14686 | CA | Primary |
Addresses
Primary practice location
777 Corporate Dr Ste 130
Ladera Ranch, CA 92694-2136
Mailing address
777 Corporate Dr Ste 130
Ladera Ranch, CA 92694-2136
Phone (949) 364-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0146860 | Other | CA | BLUE CROS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
777 Corporate Dr
Ste 130
Ladera Ranch, CA 92694
Phone (949) 364-5656
26990 Crown Valley Pkwy
Ste C
Mission Viejo, CA 92691
Phone (949) 364-5656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Ladera Ranch, CA
- NPI 1063459964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612051200000",
"number": "1306972542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CORPORATE DR STE 130",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942136",
"telephone_number": "949-364-5656",
"fax_number": "949-364-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CORPORATE DR STE 130",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942136",
"telephone_number": "949-364-5656",
"fax_number": "949-364-9021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGO CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2021-01-31",
"certification_date": "2021-01-31",
"status": "A",
"authorized_official_last_name": "MANAGO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "949-364-5656",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC14686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROS BLUE SHIELD",
"identifier": "DC0146860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.