Jose Mantupar
Community Health Worker in Sacramento, CA. Individual provider (NPI-1).
NPI number1477979342
StatusActive
Last updated in NPPESMar 14, 2014
Details
- NPI
- 1477979342
- Entity type
- Individual (NPI-1)
- Name
- Jose Mantupar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2014
- Last updated
- Mar 14, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
2717 Cottage Way # PSacramento, CA 95825-1232
Phone 916-972-7429
Mailing address
2717 Cottage Way # PSacramento, CA 95825-1232
Phone 916-972-7429
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 473 Community Health Worker providers in Sacramento · All 37,780 providers in Sacramento
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