JONATHAN CALEB MANCAO MD
NPI 1073215547
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Jonathan Mancao's NPI number?

The NPI number for Jonathan Mancao is 1073215547. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Jonathan Mancao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mancao was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(770) 367-7597 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jonathan Caleb Mancao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN CALEB MANCAO MD (NPI 1073215547) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1073215547

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJONATHAN CALEB MANCAOCredential: MD

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4199

Mailing Address4445 Magnolia AveRiverside, CA 92501-4199 · (951) 990-7955

Phone(770) 367-7597

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1073215547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4445 MAGNOLIA AVE, Riverside, CA 92501

Open in Google Maps ↗

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

40 services22 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

40 services22 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

31 services18 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID W LEVINE PA-C

Physician Assistant