Active NPI
Roberta Mann, M.D.
- Surgery Physician
- Torrance, CA
National Provider Identifier
1992735138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C050093
- Practice address
- 3330 Lomita Blvd
Torrance, CA 90505-5002 - Phone
- (310) 517-4736
- Fax
- (310) 784-8763
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C050093 | CA | Primary |
Addresses
Primary practice location
3330 Lomita Blvd
Torrance, CA 90505-5002
Mailing address
3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500930 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C050093 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992735138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055002",
"telephone_number": "310-517-4736",
"fax_number": "310-784-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055002",
"telephone_number": "310-517-4736",
"fax_number": "310-784-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "ROBERTA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C050093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.