Individual provider Active NPI

Steven Mana, M.D.

  • Pulmonary Disease Physician
  • Downey, CA
National Provider Identifier
1386681153
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A32685 Issued in CA
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

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010711OtherHEALTH NET ID #
00A326850OtherBLUE SHIELD ID #
00A326850MedicaidCA
110224009OtherRAILROAD

Other names 1

  • Dr. Suthep Manasantivongs Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814002745 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0446261085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A32685CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.