Mansfield Professional Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MANSFIELD PROFESSIONAL MEDICAL CORPORATION

Practice address

26520 Cactus Ave
RM# F2027
Moreno Valley, CA 92555-3927

Phone

(951) 486-4574

Fax

(951) 486-4560

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alfred C Ma, MD

Title

President

Phone

(951) 486-4574

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Margaret Ann Bannerman, M.D.

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1265535561
  NPD (past)
• Keith Ulric Smith, DO

  • Anesthesiology Physician
  • Riverside, CA
  • NPI 1871664854
  NPD (past)
• Sandra Hyun Ju Lee, M.D.

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1629187729

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1407992969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590757",
            "telephone_number": "714-973-2650",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "address_2": "RM# F2027",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4574",
            "fax_number": "951-486-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-486-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cesar Mamani, DDS
• Abigail Alyssa Aviles Manahan
• Tyler Manalo
• Ketsuree Maneewong
• Nathalie Saray Manriquez
• Kat Manzo
• Sharina Mary Mapleton, D.O.
• Ambreen Maqsood
• Kurt Otto Marcks, D.D.S.
• Jesse Marez, LCSW

• Anesthesiology Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.