Grace Itsuko Manago

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

413 Woodhaven Dr
Vacaville, CA 95687-5941

Phone

(707) 678-5614

Fax

(707) 678-4690

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336204601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 MIDWAY RD",
            "address_2": "413 WOODHAVEN DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889697",
            "telephone_number": "707-678-5614",
            "fax_number": "707-678-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WOODHAVEN DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875941",
            "telephone_number": "707-678-5614",
            "fax_number": "707-678-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAGO",
        "first_name": "GRACE",
        "middle_name": "ITSUKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalani May Makua I
• Eli Frank Mall
• Zachary Mallon, MD
• Rochelle Cereca Maloa
• Molly Bridget Malone
• Selene Mancilla
• Kaye Manding, P.T.
• Ramandip K. Mangat, DO
• Martha Michalski Mann, M.D.
• Sandeep Singh Mann

• Mental Health Counselor in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.