Mancuso & Sammut Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24793 Issued in CA

Legal business name

MANCUSO & SAMMUT CHIROPRACTIC PROFESSIONAL CORPORATION

Doing business as

Lifetime Wellness

Practice address

4125 Mohr Ave Ste K
Pleasanton, CA 94566-4749

Phone

(925) 484-3955

Fax

(925) 484-3045

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Godwin A Sammut, DC

Title

President

Phone

(925) 484-3955

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lifetime Wellness Doing business as

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831395722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MOHR AVE STE K",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664749",
            "telephone_number": "925-484-3955",
            "fax_number": "925-484-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MOHR AVE STE K",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664749",
            "telephone_number": "925-484-3955",
            "fax_number": "925-484-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCUSO & SAMMUT CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMMUT",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-484-3955",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24793",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DR. MANCUSO",
            "identifier": "DC024792",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DR. SAMMUT",
            "identifier": "DC024793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne A. Maltby, M. F. T.
• Mario Albert Malvehy, M.D.
• Man Kong Leung MD Inc
• Jeremae Manaois
• Marilisa Mancao, MD
• Lori T Mancuso, DC
• Robert Louis Mandiberg
• Manraj Singh Mangat, DC
• Suki Mangat
• Mathirmedha Mangipudi

• Chiropractor in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.