Avon Day Manney

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A11349 Issued in CA

Practice address

5737 Thornhill Dr Ste 207B
Oakland, CA 94611-2144

Phone

(510) 859-4196

NPI assigned

Aug 28, 2010

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthy Lifestyles and Prescriptive Exercise

  • Neuromusculoskeletal Medicine & OMM Physician
  • Pinole, CA
  • NPI 1104256924

  Neuromusculoskeletal Medicine, Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1689980534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2097",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945680209",
            "telephone_number": "510-859-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 THORNHILL DR STE 207B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112144",
            "telephone_number": "510-859-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEY",
        "first_name": "AVON",
        "middle_name": "DAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A11349",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A11349",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A11349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "20A11349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lyn Manley, FNP-BC
• Carmelinda Martin Mann, PH.D.
• Jeffrey A. Mann, M.D.
• Roger A. Mann, M.D.
• David Manner
• Erika Diane Manning
• Tamia Manning
• Jacques Manns
• Manoj Rajpal and Poonam Rani DDS Inc (East Bay Family Dentistry)
• Esther H. Manolarakis, MD

• Physical Medicine & Rehabilitation Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.