Active NPI
April Mancuso, D.O.
- Physical Medicine & Rehabilitation Physician
- Santa Clara, CA
National Provider Identifier
1902121429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A14006
- 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, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14006 | CA | MD | Optometrist |
| 20A14006 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 34010586 | OH | MD | Physical 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.