Paul Manchester, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

G52883 Issued in CA

Practice address

11159 Corte Pleno Verano
San Diego, CA 92130-2688

Phone

(408) 930-4255

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1326548363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11159 CORTE PLENO VERANO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302688",
            "telephone_number": "408-930-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11159 CORTE PLENO VERANO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302688",
            "telephone_number": "408-930-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G52883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Amoroso Manaloto, R.N.
• Bernie Sampang Manasan, DDS
• Hossein Manavizadeh, PHARMD
• Evelyn Mancera, RBT
• Jennifer Manchak, RN
• Marlene Maribel Mancia
• Clarissa Esperanza Mancilla
• David M Mancilla
• Leon Samuel Mancilla
• Pedro Mancilla, RN

• Preventive Medicine/Occupational Environmental Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.