Organization Active NPI

Andrew J. Manos D.O., Inc.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1790967628
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4530 Issued in CA
Legal business name
ANDREW J. MANOS D.O., INC.
Practice address
1760 Termino Ave
Suite 222
Long Beach, CA 90804-2105
Phone
(562) 498-0029
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Andrew James Manos, D.O.
Title
President
Phone
(562) 498-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A4530 CA Primary

Addresses

Primary practice location

1760 Termino Ave
Suite 222
Long Beach, CA 90804-2105

Mailing address

1760 Termino Ave
Suite 222
Long Beach, CA 90804-2105
Phone (562) 498-0029

Other identifiers 1

IdentifierTypeStateIssuer
W12027OtherMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1760 Termino Ave
Ste 22
Long Beach, CA 90804
Phone (562) 498-0029

1760 Termino Ave
Long Beach, CA 90804
Phone (562) 933-0249

1730 Grand Ave
Long Beach, CA 90804
Phone (562) 595-8817

723 E 9th St
Long Beach, CA 90813
Phone (562) 437-2797

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1790967628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 222",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-498-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 222",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-498-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. MANOS D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-498-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W12027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.