Erik Mantsch, RN, PHN
Registered Nurse, General Practice in San Diego, CA. Individual provider (NPI-1).
NPI number1962018465
StatusActive
Last updated in NPPESSep 20, 2020
Details
- NPI
- 1962018465
- Entity type
- Individual (NPI-1)
- Name
- Mr. Erik Mantsch
- Credential
- RN, PHN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2020
- Certification date
- Sep 20, 2020
- Last updated
- Sep 20, 2020
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 |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 95161003 | CA | Yes |
Practice location
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-531-5800 · Fax 619-542-4186
Mailing address
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-531-5800 · Fax 619-542-4186
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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