Individual provider Active NPI

Alex Montemayor Manalang, PCA

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1568280790
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707
Phone
(702) 834-4446
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 1607932086 NV
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

4850 W Flamingo Rd Ste 25
Las Vegas, NV 89103-3707

Mailing address

4245 Nopal Serrano Ave
Las Vegas, NV 89141-9115
Phone (725) 286-7942

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1607932086NVMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1568280790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 NOPAL SERRANO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891419115",
            "telephone_number": "725-286-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W FLAMINGO RD STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033707",
            "telephone_number": "702-834-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANG",
        "first_name": "ALEX",
        "middle_name": "MONTEMAYOR",
        "name_prefix": "Mrs.",
        "credential": "PCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NV",
            "license": "1607932086",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.