Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael John Mangubat, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174440671

Michael John Mangubat, PA is a Student in an Organized Health Care Education/Training Program in Peyton, Colorado. Licensed in Colorado. Registered with an NPI since 2026.

Licensed in
CO
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12515 Black Hills Dr
Peyton, CO 80831-4467
Phone: (719) 749-8854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CO)

Record details

NPI number1174440671
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 4, 2026
Last updated in NPPESJuly 4, 2026
Certification dateJuly 4, 2026
Mailing address12515 Black Hills Dr, Peyton, CO 80831-4467

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