Benedicto Vicencio Manalansan, SFIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2240 Spring Oak Way
San Diego, CA 92139-3922

Phone

(619) 475-1100

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• U.S. Navy

  • Independent Duty Corpsman
  • San Diego, CA
  • NPI 1538120068
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1588822605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SPRING OAK WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393922",
            "telephone_number": "619-475-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SPRING OAK WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393922",
            "telephone_number": "619-475-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANSAN",
        "first_name": "BENEDICTO",
        "middle_name": "VICENCIO",
        "credential": "SFIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omeed Jonathan Manabat, PHARM. D
• Shella Salanguit Manabat, LVN
• Managed Care
• Lisa Manahan, MS, LCGC
• Rey Manalang, RN
• Zynthia Lynn Manalansan
• Angerly Mae Manalili, RN
• Christine Marie Manalo, PHARM.D.
• Joanne Manalo, PA-C
• Kirsten Gayle Manalo, PMHNP-BC, DNP

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.