NPIMap

Organization Active NPI

Doctors Hospital of Manteca, Inc.

Doing business as Doctors Hospital of Manteca

  • General Acute Care Hospital
  • Manteca, CA
National Provider Identifier
1992736599
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
030000203 Issued in CA
Legal business name
DOCTORS HOSPITAL OF MANTECA, INC.
Doing business as
Doctors Hospital of Manteca
Practice address
1205 E North St
Manteca, CA 95336-4932
Phone
(209) 823-3111
NPI assigned
Jul 5, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Angelo Pagano
Title
VP
Phone
(469) 893-2327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 030000203 CA Primary

Addresses

Primary practice location

1205 E North St
Manteca, CA 95336-4932

Mailing address

PO Box 57435
File 57435
Los Angeles, CA 90074-7435
Phone (209) 578-2513

Other identifiers 9

IdentifierTypeStateIssuer
HSP40118HMedicaidCA
HSC30118GMedicaidCA
000413OtherHUMANA
005073-0001OtherPACIFICARE OF CALIFORNIA
ZZR00118GMedicaidCA
163607300OtherAETNA US HEALTHCARE (NATI
HSC00118GMedicaidCA
HSP40118GMedicaidCA
ZZZC3910ZOtherBS OF CALIFORNIA

Other names 1

  • Doctors Hospital of Manteca Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address MAN@Direct.Hub2.TenetHealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000236 CA Part A Provider - Hospital 4789578337 Practice locations: Manteca, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992736599. Details of each certification follow.

Hospital certification: CCN 050118

Legal name
DOCTORS HOSPITAL OF MANTECA, INC.
Doing business as
DOCTORS HOSPITAL OF MANTECA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 11, 1977
Last certification
Oct 24, 2025
Beds
73
Ownership / control type
Other
Most recent change of ownership
Jun 1, 2002 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jan 11, 2001 in CA
Enrollment address
1205 E North St
Manteca, CA 95336-4932
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Doctors Hospital of MantecaCCN 050118 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
05D0609961Doctors Hospital of Manteca1205 E North St, Manteca, CA 95336AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

1134 Norman Dr
Manteca, CA 95336
Phone (209) 239-8318

1136 Norman Dr
Manteca, CA 95336
Phone (209) 674-2184

1148 Norman Dr
Ste C101
Manteca, CA 95336
Phone (209) 823-7190

Interoperability endpoints

  • Direct secure messaging: man@direct.hub2.tenethealth.com

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tenet Healthcare Corporation Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 5, 2009
Sharilee Smith Individual Corporate DirectorDirector Mar 1, 2024 100%
Angelo P Pagano Individual Corporate OfficerVice President Jul 1, 2024 100%
Saumya Sutaria Individual OtherChain Home Office Administrator Sep 13, 2019
Tina Burch Individual Corporate OfficerPresident & Treasurer Sep 23, 2024
W-2 Managing EmployeeCeo of Hospital Sep 23, 2024
Health Services Network Hospitals, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 5, 2009
Kristina a Mack Individual Corporate OfficerSecretary Jul 24, 2008
Tenet California Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 5, 2009 100%
Joshua Burkett Individual Corporate OfficerAssistant Treasurer Oct 20, 2024

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

Practitioners & affiliated clinicians

Practitioners 97

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.

View all 97

Affiliated clinicians 213

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 213

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1992736599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57435",
            "address_2": "FILE 57435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747435",
            "telephone_number": "209-578-2513",
            "fax_number": "209-239-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364932",
            "telephone_number": "209-823-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL OF MANTECA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "469-893-2327"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "030000203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40118H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30118G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE OF CALIFORNIA",
            "identifier": "005073-0001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00118G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "163607300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00118G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40118G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "ZZZC3910Z",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAN@Direct.Hub2.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 E North St",
            "city": "Manteca",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953364932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Doctors Hospital of Manteca",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Hospital of Manteca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.