Philip Manibusan-Magaoay

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

417 Mace Blvd. Ste J PMB 114
Davis, CA 95618-6077

Phone

(530) 574-0556

Fax

(530) 231-5723

NPI assigned

May 14, 2018

Last updated

May 26, 2022By 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

Locations

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.

• Behavior Resources, Inc.

  • Behavior Analyst
  • Davis, CA
  • NPI 1063921005
  NPD

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1598255606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD STE J PMB 114",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186077",
            "telephone_number": "530-574-0556",
            "fax_number": "530-231-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD. STE J PMB 114",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186077",
            "telephone_number": "530-574-0556",
            "fax_number": "530-231-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 Royal Dr Ste Z",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956828556",
            "country_code": "US",
            "telephone_number": "530-387-7544",
            "fax_number": "530-677-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIBUSAN-MAGAOAY",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mak and Vicuna Dental Corporation (Dentists of Davis)
• Dinah Malkin, M.S. RPE
• Paris Adora Maloof-Bury, CNM
• Richard A Mandelaris, DMD
• Jennifer Manibot Meza
• Daljit Singh Mann, MD
• Walter James Mansfield
• Laura Lynn Mansouri, PH.D.
• Alisa Manzano, M.S., P.T.
• Zaid Maqbool, MD

• Behavior Analyst in Davis, CA
• Providers in Davis, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.