Victor M Mancha, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

90-242 Issued in NM

Practice address

9501 Paseo del Norte NE
Ste. B
Albuquerque, NM 87122

Phone

(505) 821-9630

Fax

(505) 821-1705

NPI assigned

Aug 30, 2006

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1689783912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 PASEO DEL NORTE NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222998",
            "telephone_number": "505-821-9630",
            "fax_number": "505-821-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 PASEO DEL NORTE NE",
            "address_2": "STE. B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-821-9630",
            "fax_number": "505-821-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHA",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "90-242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Manansala, M.D.
• Sandra Lee Manasco, DOM
• Nancy Ellen Mance, LPCC
• Rafael Mancero Montalvo, MD
• Janelle K Mancha, RDH
• Victoria Marie Mancha
• Mary Manchester, SLP
• Annette Paulina Mancinas
• Felicia E Mancini, CNM
• Janine Mancusi, CNP

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.