Organization Active NPI

Manago Chiropractic Inc

  • Chiropractor
  • Ladera Ranch, CA
National Provider Identifier
1306972542
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14686 Issued in CA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Authorized official

Name
David C Manago, DCNPI 1063459964
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC0146860OtherCABLUE CROS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105000331 CA Part B Supplier - Clinic/Group Practice 4688868458 Receives reassigned benefits from 1 practitioner
Practice locations: Ladera Ranch, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.