PERCIVAL MAGPUSAO MANZANO (NPI# 1508097700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508097700 |
| Entity Type | Individual |
| Full Name | PERCIVAL MAGPUSAO MANZANO |
| Credential | DDM |
| Practice Address |
3000 Alamo Dr Ste 108 Vacaville CA 95687-6345 |
| Practice Telephone | 1707469852 |
| Mailing Telephone | 1707469852 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 18901 | CA | Dental Providers |
| Street Address |
3000 ALAMO DR STE 108 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194750729 | Aileen Velarde Manzano | Dentist | 3000 Alamo Dr Ste 108, Vacaville, CA 95687-6345 | 2006-07-12 |
| 1699069641 | Aileen V. Manzano D.m.d. Inc. | Dentist | 3000 Alamo Dr Ste 108, Vacaville, CA 95687-6345 | 2011-06-07 |
| 1477884641 | Prodent Dental Lab | Dental Laboratory | 3000 Alamo Dr Ste 108, Vacaville, CA 95687-6345 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083863088 | Stacie Lorraine Harris | Denturist | 914 S Verona St, Anaheim, CA 92804-4037 | 2008-09-15 |
| 1659780328 | Chloe Nyunt Nyunt Kuo | Denturist | 11733 Valley Blvd, El Monte, CA 91732-3073 | 2014-08-07 |
| 1063738482 | Stan Czerwinski | Denturist | 400 Mobil Ave, Suite A3, Camarillo, CA 93010-6338 | 2010-04-09 |
| 1255500641 | Robert Taylor Storey Jr. | Denturist | 341 Westlake Ctr, Suite 327, Daly City, CA 94015-1443 | 2008-02-29 |
Please comment or provide details below to improve the information on PERCIVAL MAGPUSAO MANZANO.
| 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.