OrganizationActive
Old Town Manassas Medical Center
NPI 1184027161 · Clinic/Center · Manassas, VA
Old Town Manassas Medical Center is a Clinic/Center organization in Manassas, VA (NPI 1184027161).
Provider details
- NPI number
- 1184027161
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Flaviano Dazo, Owner(703) 365-0397
- License
- 0663198-0 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9003 Church St
Manassas, VA 20110-5410
Phone: (703) 365-0397
Fax: (703) 365-0399
Street-level locationGet directions
Mailing address
9003 Church St
Manassas, VA 20110-5410
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2014-10-03
Frequently asked questions
- What is Old Town Manassas Medical Center's NPI number?
- Old Town Manassas Medical Center's National Provider Identifier (NPI) is 1184027161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Manassas Medical Center?
- Old Town Manassas Medical Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Old Town Manassas Medical Center located?
- Old Town Manassas Medical Center's practice location on file with NPPES is 9003 Church St, Manassas, VA 20110-5410.
- What is Old Town Manassas Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Old Town Manassas Medical Center is (703) 365-0397.
- Who is the authorized official for Old Town Manassas Medical Center?
- The authorized official listed on Old Town Manassas Medical Center's NPPES record is Flaviano Dazo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Manassas Medical Center's NPI active?
- Yes — Old Town Manassas Medical Center's NPI (1184027161) is active in the NPPES registry as of the last update on 2014-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.