Active NPI
Harold Manansala
- Physical Therapist
- Reseda, CA
National Provider Identifier
1821751439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28626
- Practice address
- 7001 Bothwell Rd
Reseda, CA 91335-3612 - Phone
- (818) 609-0682
- NPI assigned
- Oct 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28626 | CA | Primary |
Addresses
Primary practice location
7001 Bothwell Rd
Reseda, CA 91335-3612
Mailing address
7001 Bothwell Rd
Reseda, CA 91335-3612
Phone (818) 609-0682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qarmon PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1376935163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1821751439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 BOTHWELL RD",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353612",
"telephone_number": "818-609-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 BOTHWELL RD",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353612",
"telephone_number": "818-609-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANANSALA",
"first_name": "HAROLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.