DR. GARY HAVES MANCHESTER (NPI# 1134453640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134453640 |
| Entity Type | Individual |
| Full Name | DR. GARY HAVES MANCHESTER |
| Credential | M.D. |
| Practice Address |
3720 Fourth Ave San Diego DC 92110-4763 |
| Mailing Address |
3720 4th Ave San Diego CA 92103-4203 |
| Practice Telephone | 6192998331 |
| Practice Fax Number | 6192916559 |
| Mailing Telephone | 6192998331 |
| Mailing Fax Number | 6192916559 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G11420 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3720 FOURTH AVE |
| City | SAN DIEGO |
| State | DC |
| Zip Code | 92110-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1891213245 | Rishi Jindal Md Inc | Plastic Surgery | 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 | 2017-09-06 |
| 1548530454 | Dan Sullivan Smith | Plastic Surgery | 5988 Saint Denis Ter, San Diego, CA 92120-3015 | 2012-01-09 |
| 1992937304 | Stuart B Kincaid Md, Facs, Apc | Plastic Surgery | 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 | 2009-08-18 |
| 1851528137 | Aram Harijan | Plastic Surgery | 1830 Reed Ave Apt 2, San Diego, CA 92109 | 2009-06-15 |
| 1760636534 | Ahmad Nazih Saad | Plastic Surgery | 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 | 2008-11-06 |
| 1528239761 | Innovative Plastic & Cosmetic Surgery Inc | Plastic Surgery | 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 | 2008-03-16 |
| 1316069503 | Salvatore John Pacella IIi | Plastic Surgery | 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 | 2007-04-06 |
| 1639290075 | Farid Brad Mozaffari | Plastic Surgery | 3655 Nobel Dr Ste 100, San Diego, CA 92122-1004 | 2007-04-03 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.