Organization Active NPI

Chuck Mangubat, P.C.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1417246596
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24330 Issued in AZ
Legal business name
CHUCK MANGUBAT, P.C.
Practice address
706 E Bell Rd Ste 207
Phoenix, AZ 85022-6642
Phone
(480) 460-0746
Fax
(480) 460-4373
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Chuck S Mangubat, MD
Title
Owner
Phone
(480) 460-0746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 24330 AZ Primary

Addresses

Primary practice location

706 E Bell Rd Ste 207
Phoenix, AZ 85022-6642

Mailing address

706 E Bell Rd Ste 207
Phoenix, AZ 85022-6642
Phone (480) 460-0746

National Provider Directory

National Provider Directory

Locations

706 E Bell Rd
Ste 207
Phoenix, AZ 85022
Phone (480) 460-0746

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1417246596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E BELL RD STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226642",
            "telephone_number": "480-460-0746",
            "fax_number": "480-460-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E BELL RD STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226642",
            "telephone_number": "480-460-0746",
            "fax_number": "480-460-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCK MANGUBAT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "MANGUBAT",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-460-0746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.