Provider Demographics
NPI:1871172791
Name:MCMANAMAN, ASHELEE BARBRA (DO)
Entity type:Individual
Prefix:
First Name:ASHELEE
Middle Name:BARBRA
Last Name:MCMANAMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:BARBRA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 255228
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-5228
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:916-854-6769
Practice Address - Street 1:2702 LOW CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9771
Practice Address - Country:US
Practice Address - Phone:707-427-9771
Practice Address - Fax:707-427-3641
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A23976207V00000X
MI5151015226207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology