E Mike Vasilomanolakis M D Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G41023 Issued in CA

Legal business name

E MIKE VASILOMANOLAKIS M D INC

Practice address

1760 Termino Ave
Sute 314
Long Beach, CA 90804-2105

Phone

(562) 494-3547

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Emmanuel Constantine Vasilomanolakis, M.D.NPI 1457440083

Title

President

Phone

(562) 494-3547

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emmanuel M Vasilomanolakis MD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Constantine Vasilomanolakis, MD

  • Cardiovascular Disease Physician
  • Long Beach, CA
  • NPI 1457440083
  Medicare reassignment NPD Authorized official
• Allen H. Pachtman, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1225110802
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1619122041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUTE 314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-494-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUTE 314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-494-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MIKE VASILOMANOLAKIS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "VASILOMANOLAKIS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CONSTANTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-494-3547",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G41023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G410230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel M Vasilomanolakis MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shaina Nicole Dyas
• Ryan Dye, BA
• Mary Kay Dyes, M.D.
• Tiffany A Dzioba
• E Gabriel DMD, Inc
• E Z Living Medical LLC
• Mary Lee Eames, LCSW
• Eap Optometry
• Stephen H Eap, O.D.
• Som Eare

• Cardiovascular Disease Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.