Individual provider Active NPI

April Mancuso, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Santa Clara, CA
National Provider Identifier
1902121429
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A14006 Issued in CA
Practice address
1871 Martin Ave
Nmci Medical Clinic, Inc
Santa Clara, CA 95050
Phone
(808) 463-9234
Fax
(408) 988-8585
NPI assigned
Mar 29, 2010
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34010586 OH
Physical Medicine & Rehabilitation Physician 208100000X 20A14006 CA Primary

Addresses

Primary practice location

1871 Martin Ave
Nmci Medical Clinic, Inc
Santa Clara, CA 95050

Mailing address

1871 Martin Ave
Nmci Medical Clinic, Inc
Santa Clara, CA 95050
Phone (808) 463-9234

Other names 1

  • April Mancuso Reynolds Other name

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
14006CAMDOptometrist
20A14006CAMDPhysical Medicine & Rehabilitation Physician
34010586OHMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1902121429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 MARTIN AVE",
            "address_2": "NMCI MEDICAL CLINIC, INC",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "808-463-9234",
            "fax_number": "408-988-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 MARTIN AVE",
            "address_2": "NMCI MEDICAL CLINIC, INC",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "808-463-9234",
            "fax_number": "408-988-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "APRIL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34010586",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A14006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "REYNOLDS",
            "middle_name": "MANCUSO",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.