Active NPI
Steven Mana, M.D.
- Pulmonary Disease Physician
- Downey, CA
National Provider Identifier
1386681153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A32685
- Practice address
- 11525 Brookshire Ave
Suite # 301
Downey, CA 90241-4985 - Phone
- (562) 862-3684
- Fax
- (562) 862-7145
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A32685 | CA | Primary |
Addresses
Primary practice location
11525 Brookshire Ave
Suite # 301
Downey, CA 90241-4985
Mailing address
Dept. la 23039
Attention: Maggie Noles Ms 6160
Pasadena, CA 91185-3039
Phone (562) 741-4461
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010711 | Other | HEALTH NET ID # | |
| 00A326850 | Other | BLUE SHIELD ID # | |
| 00A326850 | Medicaid | CA | |
| 110224009 | Other | RAILROAD |
Other names 1
- Dr. Suthep Manasantivongs
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814002745 | CA | Order and Referring Only - Internal Medicine | 0446261085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32685 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremore Medical Group | Pulmonary Disease | Past | Accepting new patients |
| Caremore Medical Group Inc | Pulmonary Disease | Past | Accepting new patients |
| Rubin and McNamara MDS Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Cerritos, CA
- NPI 1770656829
Pulmonary Disease
-
- Hematology & Oncology Physician
- La Mirada, CA
- NPI 1659328219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1386681153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. LA 23039",
"address_2": "ATTENTION: MAGGIE NOLES MS 6160",
"city": "PASADENA",
"state": "CA",
"postal_code": "911853039",
"telephone_number": "562-741-4461",
"fax_number": "562-741-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 BROOKSHIRE AVE",
"address_2": "SUITE # 301",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414985",
"telephone_number": "562-862-3684",
"fax_number": "562-862-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANA",
"first_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A32685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET ID #",
"identifier": "010711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID #",
"identifier": "00A326850",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A326850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "110224009",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUTHEP",
"last_name": "MANASANTIVONGS",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.