Active NPI
Eric Michael Manley, PA-C
- Physician Assistant
- Glendale, CA
National Provider Identifier
1326588187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 222 W Eulalia St Ste 100a
Glendale, CA 91204-2850 - Phone
- (818) 244-8161
- NPI assigned
- Feb 27, 2017
- Last updated
- May 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
222 W Eulalia St Ste 100a
Glendale, CA 91204-2850
Mailing address
222 W Eulalia St Ste 100a
Glendale, CA 91204-2850
Phone (818) 244-8161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231113001502 | CA | Order and Referring Only - Physician Assistant | 7911354956 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1326588187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W EULALIA ST STE 100A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042850",
"telephone_number": "818-244-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W EULALIA ST STE 100A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042850",
"telephone_number": "818-244-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.