Active NPI
Manuel N Contreras, M.D.
- Family Medicine Physician
- Rosemead, CA
National Provider Identifier
1710055595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A-34444
- Practice address
- 9238 1/2 Valley Blvd
Rosemead, CA 91770-1922 - Phone
- (626) 872-6499
- Fax
- (626) 872-6490
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A-34444 | CA | Primary |
Addresses
Primary practice location
9238 1/2 Valley Blvd
Rosemead, CA 91770-1922
Mailing address
2601 Altamira Dr
West Covina, CA 91792-1904
Phone (626) 913-4294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-34444 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1710055595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 ALTAMIRA DR",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921904",
"telephone_number": "626-913-4294",
"fax_number": "626-872-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9238 1/2 VALLEY BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701922",
"telephone_number": "626-872-6499",
"fax_number": "626-872-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "MANUEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A-34444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.