Mane of Your Dream

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MANE OF YOUR DREAM

Practice address

11553 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-0731

Phone

(909) 969-1833

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Patsy Gallian

Title

Billing/Crendentialing

Phone

(214) 437-2272

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

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

• Sandie Dubois

  • Prosthetics Case Management
  • Rancho Cucamonga, CA
  • NPI 1316572506

  Counselor

  NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1629603741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 BASELINE RD SPC 267",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917016048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11553 FOOTHILL BLVD STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300731",
            "telephone_number": "909-969-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE OF YOUR DREAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "GALLIAN",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "BILLING/CRENDENTIALING",
        "authorized_official_telephone_number": "214-437-2272"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSMETOLOGY LICENSE",
            "identifier": "KK347413",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hairsand.com/",
            "affiliation": "N",
            "endpointDescription": "https://hairsand.com/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11553 Foothill Blvd Ste 101",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917300731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.maneofyourdreams.com",
            "affiliation": "N",
            "endpointDescription": "www.maneofyourdreams.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11553 Foothill Blvd Ste 101",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917300731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramon Mancha
• Olivia Manchego
• Debbie Mancillas, LCSW
• Khal Liam Mancini, D.D.S
• Edith Mandujano
• Adeline Manese
• Patricia Mangum
• Marlyn Maniaol, RPH.
• Joyce Manipis, PHARMD
• Erica J Mann

• Prosthetic/Orthotic Supplier in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.