Active NPI
Jasbir S Mann M D Inc a Professional Corporation
- Multi-Specialty Clinic/Center
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- A35052
- Legal business name
- JASBIR S MANN M D INC A PROFESSIONAL CORPORATION
- Practice address
- 1771 W Romneya Dr
Suite E
Anaheim, CA 92801-1817 - Phone
- (714) 895-1774
- Fax
- (714) 758-1485
- NPI assigned
- Apr 4, 2007
- Last updated
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasbir S Mann, M.D.
- Title
- President
- Phone
- (714) 895-1774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | A35052 | CA | Primary |
Addresses
Primary practice location
1771 W Romneya Dr
Suite E
Anaheim, CA 92801-1817
Mailing address
PO Box 2007
Fullerton, CA 92837-0007
Phone (714) 895-1774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A350520 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1771 W Romneya Dr
Ste E
Anaheim, CA 92801
Phone (714) 449-0011
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Anaheim, CA
- NPI 1043332661
-
- Chiropractor
- Anaheim, CA
- NPI 1639487176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1750403382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2007",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928370007",
"telephone_number": "714-895-1774",
"fax_number": "714-758-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 W ROMNEYA DR",
"address_2": "SUITE E",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011817",
"telephone_number": "714-895-1774",
"fax_number": "714-758-1485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASBIR S MANN M D INC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "JASBIR",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-895-1774",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "A35052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A350520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.