Michael R Mantong

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

304700305 Issued in CA

Practice address

16152 Beach Blvd Ste 279
Huntington Beach, CA 92647-3825

Phone

(714) 509-1880

Fax

(424) 222-8882

NPI assigned

Nov 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• American Caregivers, Inc

  dba Synergy HomeCare of Huntington Beach

  • In Home Supportive Care Agency
  • Huntington Beach, CA
  • NPI 1710555446
  NPD Authorized official

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1689275786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD STE 279",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473825",
            "telephone_number": "714-509-1880",
            "fax_number": "424-222-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD STE 279",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473825",
            "telephone_number": "714-509-1880",
            "fax_number": "424-222-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTONG",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "304700305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michele Mannino, LCSW
• Manolet Santos DDS Professional Dental Corporation (AB Dental Center)
• Ellie Lauren Manriquez, LMT
• Mahjuba Mansoory
• Richard B Mantell, MD
• Christian Aaron Octoman Manuel, DDS, DMD
• Joseph A Manzini, M.D.
• Yuan Mao
• Mar Dental Corporation
• Jiarra Marasigan-Paset

• Home Health Aide in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.