Individual provider Active NPI

Brandye Wilson-Manigat, M.D.

  • Obstetrics & Gynecology Physician
  • Ontario, OR
National Provider Identifier
1639328412
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD224037 Issued in OR
Practice address
351 SW 9TH St
Ontario, OR 97914-2639
Phone
(541) 881-7184
Fax
(541) 881-7016
NPI assigned
Sep 16, 2008
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A95658 CA
Obstetrics & Gynecology Physician 207V00000X MD224037 OR Primary

Addresses

Primary practice location

351 SW 9TH St
Ontario, OR 97914-2639

Mailing address

50 Alessandro PL
Suite 310
Pasadena, CA 91105-3149
Phone (626) 796-9114

Other practice location 1

50 Alessandro Pl
Suite 310
Pasadena, CA 91105-3149
Phone (626) 796-9114

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group
Direct Messaging Address brandywilsonmanigat@swhealth.direct-ci.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151223000506 CA Practitioner - Obstetrics/Gynecology 6406990787 Reassigns benefits to 3 organizations
I20231031003821 CO Practitioner - Obstetrics/Gynecology 6406990787 Reassigns benefits to 2 organizations
I20250717001875 OR Practitioner - Obstetrics/Gynecology 6406990787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 10, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Apr 18, 2025 Accepting new patients
Southwest Health System, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince Aug 16, 2025 Accepting new patients
Southwest Health System, Inc. Current Accepting new patients
Ridgecrest Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients
Southwest Health System Inc Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Apr 18, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Jun 1, 2025 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Dept LA 25339
Pasadena, CA 91185

1011 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 499-3640

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: vwilsonmanigat793903@direct.ochin.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1639328412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-796-9114",
            "fax_number": "626-796-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142639",
            "telephone_number": "541-881-7184",
            "fax_number": "541-881-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Alessandro Pl",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053149",
            "country_code": "US",
            "telephone_number": "626-796-9114",
            "fax_number": "626-796-8523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-MANIGAT",
        "first_name": "BRANDYE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A95658",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD224037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandywilsonmanigat@swhealth.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System L&D",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.