Active NPI
Alec Chandler Manuel, PA-C
- Physician Assistant
- West Hollywood, CA
National Provider Identifier
1831785468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58889
- Practice address
- 9201 W Sunset Blvd Ste 812
West Hollywood, CA 90069-3709 - Phone
- (310) 550-1010
- NPI assigned
- Dec 17, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58889 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 812
West Hollywood, CA 90069-3709
Mailing address
1031 N Crescent Heights Blvd Apt 1F
West Hollywood, CA 90046-6065
Phone (859) 321-5895
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58889 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1831785468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 N CRESCENT HEIGHTS BLVD APT 1F",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466065",
"telephone_number": "859-321-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 812",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693709",
"telephone_number": "310-550-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "ALEC",
"middle_name": "CHANDLER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.