Irene Mangacu

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000476 Issued in CA

Practice address

2370 Carson St
Redwood City, CA 94061-2008

Phone

(805) 302-6412

NPI assigned

Dec 4, 2015

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaiser Foundation Hospital - Redwood City Hospital, Redwood City, CA, CCN 050541

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 37)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111
  Medicare reassignment NPD
• Credence Anesthesia Corporation

  • Certified Registered Nurse Anesthetist
  • Oxnard, CA
  • NPI 1881381002

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Empire Anesthesia Inc

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1174792261
  Medicare reassignment NPD
• Executive Gi Services

  dba Executive GI Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Danville, CA
  • NPI 1669730339

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mai Nursing Anesthesia PC

  dba Kaleidoscope Anesthesia Nursing

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1003572769
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1336222397
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Allen Lavee MD, Inc.

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1316997612
  NPD (past)
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)
• West Coast Surgery Inc

  • Orthopaedic Surgery Physician
  • Palm Desert, CA
  • NPI 1992248918
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Redwood City

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1386714814
  Care Compare affiliation

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1891160644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 STEVENSON BLVD",
            "address_2": "APT. 286",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382787",
            "telephone_number": "805-302-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 CARSON ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612008",
            "telephone_number": "805-302-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGACU",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000476",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "697151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1100 Veterans Blvd",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Sara Malinowski, OTR/L
• Priscilla W. Malm, PSY.D.
• Avinash Mamidi, PHARM
• Cara Mamola, OT/L
• Stephanie Mandle
• Harleen Mangat
• Jazmine Manning
• Maya Caspi Manning, PT, DPT, CSCS
• Sara Manning
• Michael Manno, BS

• Certified Registered Nurse Anesthetist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.