MARI CARLO MANZANA (NPI# 1063946341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063946341 |
| Entity Type | Individual |
| Full Name | MARI CARLO MANZANA |
| Practice Address |
46900 Monroe St Indio CA 92201-4827 |
| Mailing Address |
Po Box 66 Imperial CA 92251-0066 |
| Practice Telephone | 8335742273 |
| Mailing Telephone | 7603328688 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A157573 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
46900 MONROE ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386768737 | Yunhan Zhang | Podiatrist | 46900 Monroe St, Ste E, Indio, CA 92201-4827 | 2007-03-19 |
| 1477904001 | Antonio Martinez Martinez Jr. | Peer Specialist | 46900 Monroe St, Suite 101, Indio, CA 92201-4827 | 2016-06-24 |
| 1083077747 | County of Riverside | Community/Behavioral Health | 46900 Monroe St, Suite A-101, Indio, CA 92201-4827 | 2016-03-31 |
| 1528425956 | Emmeline Helen Soto-elliott | Nurse Practitioner | 46900 Monroe St, Indio, CA 92201-4827 | 2016-01-15 |
| 1235418542 | Riverside County Dept of Mental Health | Community/Behavioral Health | 46900 Monroe St, A-101, Indio, CA 92201-4827 | 2011-08-04 |
| 1306034046 | David Rogers | Dentist | 46900 Monroe St, Ste. B201, Indio, CA 92201-4827 | 2007-10-09 |
| 1528264710 | Jerry Frank Juhl | Physical Therapist | 46900 Monroe St, Suite 304, Indio, CA 92201-4827 | 2007-06-25 |
| 1326242512 | Edward Charles Sharp | Dentist | 46900 Monroe St, Indio, CA 92201-4827 | 2007-06-12 |
| 1609090968 | Lawrence R Church Dds Inc. | Dentist | 46900 Monroe St, Suite B201, Indio, CA 92201-4827 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350736 | S Lin Medical Consultants Inc | Family Medicine | 49256 Escalante St, Indio, CA 92201-8850 | 2020-03-04 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1659542405 | Laraine Joyce Smith Friend | Family Medicine | 46057 Oasis St, Indio, CA 92201-5906 | 2008-03-20 |
| 1386777175 | Julio C. Martinez, M.d. Medical Group, Inc | Family Medicine | 83233 Indio Blvd, Suite 14, Indio, CA 92201-4748 | 2007-03-13 |
| 1487787214 | Raquel Gomez Mora | Family Medicine | 81719 Doctor Carreon Blvd Ste B, Indio, CA 92201-5518 | 2007-03-13 |
| 1265545123 | James W Moffat | Family Medicine | 47-923 Oasis St, Indio, CA 92201-6950 | 2006-08-16 |
| 1457388787 | David Fringer | Family Medicine | 81709 Doctor Carreon Blvd, Suite C5, Indio, CA 92201-5509 | 2006-06-26 |
| 1922041235 | Christopher Snyder | Family Medicine | 81709 Doctor Carreon Blvd Ste C3, Indio, CA 92201-5577 | 2006-06-14 |
| 1336127844 | Jerome Edward Seeraty | Family Medicine | 40410 Corte Los Bancos, Indio, CA 92203-7457 | 2006-01-04 |
| 1316928492 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2005-11-07 |
| Find all providers in INDIO | ||||
Please comment or provide details below to improve the information on MARI CARLO MANZANA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.