Active NPI
Michael Francis Mangahas, M.S., M.D.
- Pediatrics Physician
- Arcata, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A145331
- Practice address
- 1600 Weeot Way
Arcata, CA 95521-4734 - Phone
- (707) 825-5010
- Fax
- (707) 825-6736
- NPI assigned
- May 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A145331 | CA | Primary |
Addresses
Primary practice location
1600 Weeot Way
Arcata, CA 95521-4734
Mailing address
1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5010
Other practice location 1
747 52nd St
Room 245
Oakland, CA 94609-1809
Phone (510) 428-3331
Other practice location 2
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145331 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| United Indian Health Services, Inc. | Past | Accepting new patients | |
| United Indian Health Services, Inc. | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients |
Locations
1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000
1275 8th St
Arcata, CA 95521
1675 Northcrest Dr
Crescent City, CA 95531
Phone (707) 464-2750
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
670 9th St
Ste 203
McKinleyville, CA 95521
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
Interoperability endpoints
- mmangahas813560@direct.ochin.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Primary Care Clinic/Center
- Arcata, CA
- NPI 1497751572
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1417474966
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Community Health Clinic/Center
- Arcata, CA
- NPI 1699506121
-
- Community Health Clinic/Center
- Smith River, CA
- NPI 1821440371
-
- Primary Care Clinic/Center
- Crescent City, CA
- NPI 1043216021
-
- Community Health Clinic/Center
- Weitchpec, CA
- NPI 1265438154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1689053738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 WEEOT WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214734",
"telephone_number": "707-825-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WEEOT WAY",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214734",
"telephone_number": "707-825-5010",
"fax_number": "707-825-6736"
}
],
"practiceLocations": [
{
"address_1": "747 52nd St",
"address_2": "Room 245",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Tydd St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "95501",
"country_code": "US",
"telephone_number": "707-269-7051",
"fax_number": "707-269-7054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGAHAS",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"credential": "M.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-21",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A145331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.