Ian Seth Mannarino

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2570 Temple Ave
Camarillo, CA 93010-2230

Phone

(805) 402-7725

NPI assigned

May 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1942687553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S DIRECTOR ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084702",
            "telephone_number": "805-402-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 TEMPLE AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102230",
            "telephone_number": "805-402-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNARINO",
        "first_name": "IAN",
        "middle_name": "SETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Mancilla Ordonez
• Jacqueline Mancilla
• Gabriella Patricia Mangone
• Sarah Mangrum, BSN, RN
• Kaitlin Manker
• Jessica Marie Manners
• Andrea Jean Manning, BA
• Pezhman Mansourian, D.D.S.
• Dominique Mansur
• Khyle Rafael Manuel III

• Student in an Organized Health Care Education/Training Program in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.