Organization Active NPI

Roger a. Mann M.D., Inc.

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1922112085
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A20311 Issued in CA
Legal business name
ROGER A. MANN M.D., INC.
Practice address
80 Grand Ave
5TH Floor
Oakland, CA 94612-3725
Phone
(510) 451-6266
Fax
(510) 451-6260
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Roger A. Mann, M.D.
Title
President
Phone
(510) 451-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A20311 CA Primary

Addresses

Primary practice location

80 Grand Ave
5TH Floor
Oakland, CA 94612-3725

Mailing address

80 Grand Ave
5TH Floor
Oakland, CA 94612-3725
Phone (510) 451-6266

National Provider Directory

National Provider Directory

Locations

80 Grand Ave
Fl 6
Oakland, CA 94612
Phone (510) 451-6266

80 Grand Ave
Fl 5
Oakland, CA 94612
Phone (510) 444-2756

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1922112085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "5TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6266",
            "fax_number": "510-451-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "5TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6266",
            "fax_number": "510-451-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. MANN M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-451-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A20311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.