Active NPI
Doris Manford
- Student in an Organized Health Care Education/Training Program
- Rancho Cordova, CA
National Provider Identifier
1891038220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- INT26594
- Practice address
- 10938 Tower Park Dr
Rancho Cordova, CA 95670-6264 - Phone
- (916) 760-8054
- NPI assigned
- Apr 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | INT26594 | CA | Primary |
Addresses
Primary practice location
10938 Tower Park Dr
Rancho Cordova, CA 95670-6264
Mailing address
10938 Tower Park Dr
Rancho Cordova, CA 95670-6264
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 |
|---|---|---|---|
| INT26594 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1891038220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10938 TOWER PARK DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10938 TOWER PARK DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706264",
"telephone_number": "916-760-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFORD",
"first_name": "DORIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "INT26594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.