Active NPI
Unna Camille Coronel Mangune, DPT
- Orthopedic Physical Therapist
- Travis Afb, CA
National Provider Identifier
1447787023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 293055
- Practice address
- 60 MDG/Sgxy
101 Bodin Circle
Travis Afb, CA 94535-1809 - Phone
- (707) 423-7000
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 293055 | CA | Primary |
Addresses
Primary practice location
60 MDG/Sgxy
101 Bodin Circle
Travis Afb, CA 94535-1809
Mailing address
60 MDG/Sgxy
101 Bodin Circle
Travis Afb, CA 94535-1809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293055 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1447787023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MDG/SGXY",
"address_2": "101 BODIN CIRCLE",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MDG/SGXY",
"address_2": "101 BODIN CIRCLE",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUNE",
"first_name": "UNNA CAMILLE",
"middle_name": "CORONEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2025-07-11",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "293055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.