Advanced Care Medical Inc
NPI 1821607789ActiveOrganization· Family Medicine· Newport Beach, CA
Family Medicine in Newport Beach, California, registered in NPPES in July 2020. The authorized official on file is Luther Mangoba, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821607789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2020 |
| Last updated in NPPES | Jul 27, 2020 |
| Certified by provider | Jul 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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