JENSEN DOMINGO MANABAT (NPI# 1073033924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073033924 |
| Entity Type | Individual |
| Full Name | JENSEN DOMINGO MANABAT |
| Credential | RADIOLOGIC TECHNOLOG |
| Practice Address |
550 Saint Charles Dr Thousand Oaks CA 91360-3951 |
| Mailing Address |
2826 Racine St Simi Valley CA 93065-2730 |
| Practice Telephone | 8055790288 |
| Mailing Telephone | 8058159057 |
| Mailing Fax Number | 8058421772 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHF00085813 | CA | Suppliers |
| Street Address |
550 SAINT CHARLES DR |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657813 | Telesis Physical Therapy, Inc. | Physical Therapist | 550 Saint Charles Dr, Ste 100, Thousand Oaks, CA 91360-3969 | 2005-05-31 |
| 1912362955 | St Charles Surgical Center | Clinic/Center | 550 Saint Charles Dr, Suite 101, Thousand Oaks, CA 91360-3951 | 2015-12-17 |
| 1871842021 | Hannah R Silverman | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2012-09-04 |
| 1841560620 | Crista Taylor | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2012-01-10 |
| 1033421672 | Cara Rademaker | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2010-07-12 |
| 1881924470 | Bryan D Arias | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2010-01-05 |
| 1215190665 | Ranju K Punnoose | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2008-07-07 |
| 1164629051 | Ritecare Medical Company, Inc. | Durable Medical Equipment & Medical Supplies | 550 Saint Charles Dr, Ste 101 B, Thousand Oaks, CA 91360-3996 | 2007-07-02 |
| 1508067299 | Jack L. Doman Jr. | Marriage & Family Therapist | 550 Saint Charles Dr, Suite 101a, Thousand Oaks, CA 91360-3951 | 2007-05-30 |
| 1154537421 | Meridian Hand Therapy Inc | Durable Medical Equipment & Medical Supplies | 550 Saint Charles Dr, Suite 100, Thousand Oaks, CA 91360-3951 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696497 | Iscan Medical Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21822 Sherman Way Ste 201, Canoga Park, CA 91303-1938 | 2020-07-08 |
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1790314151 | Jem Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 359 Churchill Pl, Gilroy, CA 95020-6738 | 2020-04-07 |
| 1427695352 | Quality Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 | 2019-12-10 |
| 1851940431 | X-ray Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 | 2019-09-06 |
| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on JENSEN DOMINGO MANABAT.
| 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.