Erik Mantsch, RN, PHN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95161003 Issued in CA

Practice address

3851 Rosecrans St
San Diego, CA 92110-3115

Phone

(619) 531-5800

Fax

(619) 542-4186

NPI assigned

Sep 20, 2020

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1962018465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-531-5800",
            "fax_number": "619-542-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-531-5800",
            "fax_number": "619-542-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTSCH",
        "first_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "RN, PHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95161003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waed Mansour
• Yasaman Mansouri, MD
• Sufiyan Mansuri, RN
• Hafid Mantilla, MD
• Melissa Manto, RN
• Kavya H Manu, MD
• Francesca Angeline Manuel, LCSW
• Luckvin Ponsingh Manuel, M.D.
• Marie Manuel, RN
• Marylin S Manuel

• General Practice Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.