Bernie Sampang Manasan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012534 Issued in GA

Practice address

2463 Calle Aguadulce
San Diego, CA 92139-2238

Phone

(760) 220-4885

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1679549430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 CALLE AGUADULCE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 CALLE AGUADULCE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392238",
            "telephone_number": "760-220-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASAN",
        "first_name": "BERNIE",
        "middle_name": "SAMPANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410997",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Manalo, PHARM.D.
• Joanne Manalo, PA-C
• Kirsten Gayle Manalo, PMHNP-BC, DNP
• Dana Lynne Manaloto
• Ruth Amoroso Manaloto, R.N.
• Hossein Manavizadeh, PHARMD
• Evelyn Mancera, RBT
• Jennifer Manchak, RN
• Paul Manchester, MD
• Marlene Maribel Mancia

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.