Coronado Foot Specialists Podiatry Clinic Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E2930 Issued in CA

Legal business name

CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC

Practice address

1121 10TH St
Coronado, CA 92118-3401

Phone

(619) 435-0151

Fax

(619) 435-9316

NPI assigned

Apr 26, 2007

Last updated

May 12, 2014By 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. Bruce Alan Manchel, DPMNPI 1790890788

Title

Podiatrist

Phone

(619) 435-0151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

• Bruce A Manchel, D.P.M.

  • Podiatrist
  • Coronado, CA
  • NPI 1790890788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1639399371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 10TH ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183401",
            "telephone_number": "619-435-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 10TH ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183401",
            "telephone_number": "619-435-0151",
            "fax_number": "619-435-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO FOOT SPECIALISTS PODIATRY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MANCHEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "619-435-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Birth Group
• Kevin C. Considine, D.O.
• Lisa Considine, DO
• John Cope
• Michael Brian Copp, DDS
• Coronado Infusion Center
• Coronado Island Chiropractic
• Coronado Medical Group, Inc.
• Coronado Psychological Associates
• Coronado Senior Care Corp (Comfort Keepers 521)

• Foot Surgery Podiatrist in Coronado, CA
• Providers in Coronado, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.