MR. ERIK MANTSCH (NPI# 1962018465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962018465 |
| Entity Type | Individual |
| Full Name | MR. ERIK MANTSCH |
| Credential | RN, PHN |
| Practice Address |
3851 Rosecrans St San Diego CA 92110-3115 |
| Practice Telephone | 6195315800 |
| Practice Fax Number | 6195424186 |
| Mailing Telephone | 6195315800 |
| Mailing Fax Number | 6195424186 |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
95161003 | CA | Nursing Service Providers |
| Street Address |
3851 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
| 1801494919 | Jacquelyn Gaynor | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1780282871 | Soofia Khan | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1083212336 | Gabriela Maria Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-09 |
| 1770180101 | Nadia Contreras | Counselor | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1841897717 | Mary Rebecca Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-05 |
| 1598371684 | Reanna Beshelle Craig | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1578170635 | Alisa Sathirabarabongse | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1972118248 | Vera Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-13 |
| 1114532629 | Jeffrey Michael Conti | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-11 |
| Find all providers in the same location | ||||
| 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 | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255987848 | Leila Alexandra Perry | Registered Nurse | 1501 Island Ave Apt 437, San Diego, CA 92101-7965 | 2019-08-10 |
| 1033604475 | Jila Ghabeljoo | Registered Nurse | 12672 Carmel Country Rd Unit 49, San Diego, CA 92130-3180 | 2018-06-28 |
| 1124545645 | Temitayo Olagbemi | Registered Nurse | 446 Alta Rd # 5300, San Diego, CA 92158-3018 | 2017-08-25 |
| 1376522193 | Anna Gruetzmacher | Registered Nurse | 34101 Farenholt Ave, Nshs-sd Idc, San Diego, CA 92134-7000 | 2006-01-11 |
| 1003422080 | Michelle Renee Zittlau-johnson | Registered Nurse | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-09-16 |
| 1215545496 | Priscilla Adams Hunter | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-07-14 |
| 1497379812 | Valentine Daniele Aljabi | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-01 |
| 1609427814 | Joan Balahadia | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2019-09-28 |
| 1174174361 | Maniphanh Noraky | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2019-09-27 |
| 1255824959 | Gwendolyn Banes | Registered Nurse | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2018-06-07 |
| 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.