Carlos Jordan Manzano MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A106140 Issued in CA

Legal business name

CARLOS JORDAN MANZANO MD INC

Practice address

23700 Camino del Sol
Torrance, CA 90505-5017

Phone

(310) 530-1151

Fax

(310) 626-9390

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Jordan-Manzano, MDNPI 1922203157

Title

Owner

Phone

(424) 400-7748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Jordan-Manzano, M.D.

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1922203157
  Authorized official Same address or phone

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1629556501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4570",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749607",
            "telephone_number": "424-400-7748",
            "fax_number": "424-400-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 CAMINO DEL SOL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055017",
            "telephone_number": "310-530-1151",
            "fax_number": "310-626-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS JORDAN MANZANO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN-MANZANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-400-7748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A106140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl R. Wagreich, D.P.M., a Professional Corporation
• Cathryn Carleton, BSN, RN, AG-ACNP
• Fernando Carlo, MD
• Carlos a. Smith, M.D, Professional Corporation (Docgo)
• Carlos F Garcia DDS Inc
• Alexis Michelle Carlos
• Cathleen A Carlson, MFT
• Peter Gustav Carlson, M.A., MFT
• Ursula Carmody
• Dalisha Angel Carmouche

• Psychiatry Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.