MEDICARE: FAREED MANGISTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	122951	CA

General Provider Information

NPI Number	:	1376949479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAREED MANGISTO

Provider Business Mailing Address
First Line	:	4120 ALABAMA ST APT 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-7021
Country	:	US
Telephone Number	:	619-254-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	4120 ALABAMA ST APT 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-7021
Country	:	US
Telephone Number	:	619-254-2876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	09/20/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1497542724 — JOSE ARQUEL GADEA REYES III DC
Practice Location Address:

B COND JARD SAN IGNACIO , APT. 1001 B
SAN JUAN, PR
00927-7021

Practice Phone: 787-547-0485
Practice Fax:

1841824901 — MARTHA ERICKSON
Practice Location Address:

7021 ICEBERG LN
SAN ANTONIO, TX
78238-1113

Practice Phone: 210-379-3509
Practice Fax:

1457405524 — NICOLE JACQUELINE GAJADHAR PA-C
Practice Location Address:

3544 30TH ST
SAN DIEGO, CA
92104-4120

Practice Phone: 619-515-2424
Practice Fax:

1629920947 — MS. GABRIELA REMHOF-WARNER RN IBCLC
Practice Location Address:

1738 WHALEY AVE , ADMINISTRATIVE/TELEHEALTH
SAN DIEGO, CA
92104-5752

Practice Phone: 917-459-2124
Practice Fax: 917-459-2124

1891647905 — JORDAN PIERCE LEVI
Practice Location Address:

4121 CHEROKEE AVE APT 13
SAN DIEGO, CA
92104-2338

Practice Phone: 619-895-3935
Practice Fax: 619-895-3935

Directions to “ FAREED MANGISTO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.