Edward Manougian, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

C17929 Issued in CA

Practice address

1517 Summit Rd
Berkeley, CA 94708-2216

Phone

(510) 843-9247

Fax

(510) 843-9247

NPI assigned

Oct 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972691418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 LAWRENCE COURT",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302411",
            "telephone_number": "510-525-4630",
            "fax_number": "510-843-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 SUMMIT RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947082216",
            "telephone_number": "510-843-9247",
            "fax_number": "510-843-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUGIAN",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C17929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary P. Mann, MD
• Elizabeth Mannering, MS, ATC
• Roxanne Manning, PH.D.
• Peter George Manoleas, LCSW
• Noie Manor
• Taryn Manuel
• Monique Manzella, RN
• Briana Mapplebeck
• Chryssa Elizabeth Maragos, M.A.
• Mary Ann Maravillas, D.D.S.

• Pain Medicine Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.