Active NPI
Peter Mann, M.D.
- Emergency Medicine Physician
- Coronado, CA
National Provider Identifier
1386678738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A42081
- Practice address
- 250 Prospect PL
Coronado, CA 92118-1943 - Phone
- (619) 522-3722
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A42081 | CA | Primary |
Addresses
Primary practice location
250 Prospect PL
Coronado, CA 92118-1943
Mailing address
PO Box 28247
Tempe, AZ 85285-8247
Phone (480) 967-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1386678738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28247",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852858247",
"telephone_number": "480-967-6500",
"fax_number": "480-967-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PROSPECT PL",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181943",
"telephone_number": "619-522-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A42081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
- LT Helmstetter Inc (Coronado Pharmacy)
- Natasha Hicks Lubrano, NP
- Arrielle Luna, ATC
- Alfred Phiilip Luppi II, MD
- Bruce A Manchel, D.P.M.
- Maria Guadalupe Lopez MD, a Professional Corporation
- Mark M Scheurer MD PC
- Mark Melden, DO
- Mark V. Garbutt, MD Professional Corporation
- Martha Elva Morett DDS Inc. (Martha E. Morett)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.