Individual provider Active NPI

Angelimarie Mangahas, FNP

  • Family Nurse Practitioner
  • Alameda, CA
National Provider Identifier
1790265973
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006684 Issued in CA
Practice address
2070 Clinton Ave
Alameda, CA 94501-4399
Phone
(510) 814-4397
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006684 CA Primary

Addresses

Primary practice location

2070 Clinton Ave
Alameda, CA 94501-4399

Mailing address

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 814-4397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001000 CA Practitioner - Nurse Practitioner 5698015691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95006684CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E P Magalong Jr MD Inc CurrentSince Aug 1, 2025 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
Piedmont Advanced Care Inc CurrentSince Oct 11, 2023 Accepting new patients

Locations

1050 Marina Village Pkwy
Ste 101
Alameda, CA 94501
Phone (510) 227-5540

516 Willow St
Alameda, CA 94501
Phone (510) 521-5600

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1805 West St
Hayward, CA 94545
Phone (510) 259-6733

25919 Gading Rd
Hayward, CA 94544
Phone (510) 782-3825

309 MacArthur Blvd
Oakland, CA 94610
Phone (510) 533-9970

484 Lake Park Ave
Oakland, CA 94610
Phone (510) 789-5565

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1790265973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-814-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014399",
            "telephone_number": "510-814-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAHAS",
        "first_name": "ANGELIMARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.