Organization Active NPI

Manuel L H Canga MD Incorporated

  • Internal Medicine Physician
  • Newman, CA
National Provider Identifier
1982613592
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANUEL L H CANGA MD INCORPORATED
Practice address
1248 Main St
Ste D
Newman, CA 95360-1325
Phone
(209) 862-2991
Fax
(209) 862-4105
NPI assigned
Aug 5, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Manuel L H CangaNPI 1194770941
Title
Owner
Phone
(209) 862-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1248 Main St
Ste D
Newman, CA 95360-1325

Mailing address

1248 Main St
Ste D
Newman, CA 95360-1325
Phone (209) 862-2991

Other identifiers 1

IdentifierTypeStateIssuer
00A461730MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060906000176 CA Part B Supplier - Clinic/Group Practice 5092719096 Receives reassigned benefits from 1 practitioner
Practice locations: Newman, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0610778Manuel Lorenzo H Canga MD1248 Main Street, Newman, CA 95360Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1982613592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 MAIN ST",
            "address_2": "STE D",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601325",
            "telephone_number": "209-862-2991",
            "fax_number": "209-862-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 MAIN ST",
            "address_2": "STE D",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601325",
            "telephone_number": "209-862-2991",
            "fax_number": "209-862-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL L H CANGA MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CANGA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "L H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-862-2991",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A461730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newman, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.