Katherine Manasson M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61594 Issued in CA

Legal business name

KATHERINE MANASSON M.D., INC.

Practice address

26732 Crown Valley Pkwy
Suite 507
Mission Viejo, CA 92691-6306

Phone

(949) 348-1086

Fax

(949) 348-1087

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Manasson, M.D.NPI 1538178611

Title

President

Phone

(949) 751-7604

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Manasson, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1538178611
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1356392575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CORAL LK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145443",
            "telephone_number": "949-751-7604",
            "fax_number": "949-348-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 507",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-348-1086",
            "fax_number": "949-348-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MANASSON M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MANASSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-751-7604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W19900",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Rawgie Karanja
• Faramarz Kardan, M.D.
• Kelly V. Karjoo, PSY.D
• Karl Gebhard MD a Professional Corporation
• Cassandra L. Karn, P.A.
• Katherine Prodanovich Licensed Professional Clinical Counselor, Corp.
• Kathleen Mary Pollock MD a Medical Corporation
• Aikaterini Tzinti Katsivalis, ASW
• Jasbir Kaur, MD
• David T Kawanishi, M.D.

• Internal Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.