Phillip G. Mangis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G16195 Issued in CA

Practice address

3577 Pacifica LN
Elk Grove, CA 95758-4642

Phone

(443) 851-9218

NPI assigned

Apr 2, 2008

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1740453497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 PACIFICA LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584642",
            "telephone_number": "443-851-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 PACIFICA LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584642",
            "telephone_number": "443-851-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIS",
        "first_name": "PHILLIP",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G16195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiny Mandla, DO
• Bogdan Mandzyuk, PHARMD
• Joseph Paul Henry Manez
• Madison Manez
• Philip Manganti
• Dave D Manguerra Jr.
• Harmeet Mann, DDS
• Mavleen Mann
• Nazaria Manquera Azua
• Saif Ali Mansoor

• Internal Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.