Active NPI
Lincoln L Manzi Jr., MD, INC
- Ophthalmology Physician
- Fountain Valley, CA
National Provider Identifier
1376592188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G27003
- Practice address
- 18426 Brookhurst St
Suite # 103
Fountain Valley, CA 92708-6776 - Phone
- (714) 546-2020
- Fax
- (714) 436-2929
- NPI assigned
- May 9, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G27003 | CA | Primary |
Addresses
Primary practice location
18426 Brookhurst St
Suite # 103
Fountain Valley, CA 92708-6776
Mailing address
18426 Brookhurst St
Suite 103
Fountain Valley, CA 92708-6776
Phone (714) 546-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G270030 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27003 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Baran Jr MD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- San Diego, CA
- NPI 1326231978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1376592188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18426 BROOKHURST ST",
"address_2": "SUITE 103",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086776",
"telephone_number": "714-546-2020",
"fax_number": "714-436-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18426 BROOKHURST ST",
"address_2": "SUITE # 103",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086776",
"telephone_number": "714-546-2020",
"fax_number": "714-436-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZI",
"first_name": "LINCOLN",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G27003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G270030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.