Active NPI
Joseph M Mann III, MD
- Specialist
- Escondido, CA
National Provider Identifier
1851389977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G21242
- Practice address
- 163 N Date St
Escondido, CA 92025-3405 - Phone
- (760) 747-7272
- Fax
- (760) 745-3766
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G21242 | CA | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | G21242 | CA |
Addresses
Primary practice location
163 N Date St
Escondido, CA 92025-3405
Mailing address
163 N Date St
Escondido, CA 92025-3405
Phone (760) 747-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G212420 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21242 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serge Kaska, M.D., Inc. | Hand Surgery | Past | Accepting new patients |
| San Diego Shoulder to Fingertips Medical Group Inc | Past | Accepting new patients | |
| Paul C Milling M D a Professional Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Poway, CA
- NPI 1477681393
-
- Orthopaedic Surgery Physician
- San Marcos, CA
- NPI 1639980659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1851389977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253405",
"telephone_number": "760-747-7272",
"fax_number": "760-745-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253405",
"telephone_number": "760-747-7272",
"fax_number": "760-745-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G21242",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "G21242",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G212420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.