Victor Otis Mannis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29999 Issued in CA

Practice address

10400 Beaumont Ave
Ste E
Cherry Valley, CA 92223-4432

Phone

(951) 845-1177

Fax

(951) 845-5543

NPI assigned

Jun 19, 2006

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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.

• Mannis Chiropractic,a Professional Corporation

  • Chiropractor
  • Cherry Valley, CA
  • NPI 1740389725
  Authorized official Same address or phone

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1710922943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 BEAUMONT AVE",
            "address_2": "STE E",
            "city": "CHERRY VALLEY",
            "state": "CA",
            "postal_code": "922234432",
            "telephone_number": "951-788-1651",
            "fax_number": "951-845-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BEAUMONT AVE",
            "address_2": "STE E",
            "city": "CHERRY VALLEY",
            "state": "CA",
            "postal_code": "922234432",
            "telephone_number": "951-845-1177",
            "fax_number": "951-845-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIS",
        "first_name": "VICTOR",
        "middle_name": "OTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Sierra Lozano
• Christina Lynch, LCSW
• Stephanie Shane Lynn
• Aundrea Madrid
• Mannis Chiropractic,a Professional Corporation
• Hillary May, DMFT, LPCC, AMFT
• Miravilla SNF Healthcare, LLC (Oak Glen Post Acute)
• David Myers
• Anamarie Perde, WELLNESS COACH
• Jesse William Perez

• Chiropractor in Cherry Valley, CA
• Providers in Cherry Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.