MANIPHANH NORAKY (NPI# 1174174361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174174361 |
| Entity Type | Individual |
| Full Name | MANIPHANH NORAKY |
| Credential | RN, FNP-C |
| Practice Address |
4276 54th Pl Ste C San Diego CA 92115-6011 |
| Mailing Address |
2402 Judson St San Diego CA 92111-6214 |
| Practice Telephone | 9514426787 |
| Mailing Telephone | 8583978000 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
662213 | CA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F12180372 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F12180372 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4276 54TH PL STE C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073710 | Health Education Advocacy Leadership | Voluntary or Charitable | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2016-06-04 |
| 1609427814 | Joan Balahadia | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2019-09-28 |
| 1649773938 | Rashid Barley | Specialist/Technologist | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2018-03-13 |
| 1508365206 | Heal Medical Group | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115 | 2018-02-08 |
| 1295246346 | Health Education Advocacy Leadership, Inc. | Registered Nurse | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1386107712 | Phillip Stephen Garibotto | Nurse Practitioner | 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 | 2019-04-11 |
| 1013411016 | Virginia Zebley | Nurse Practitioner | 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 | 2018-03-23 |
| 1528476256 | Julie Chrisco | Nurse Practitioner | 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 | 2014-07-25 |
| 1093130395 | Imelda Lim | Nurse Practitioner | 5795 Radio Ct, San Diego, CA 92114-6572 | 2014-02-23 |
| 1851505788 | Kathleen Finnigan-ryan | Nurse Practitioner | 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 | 2007-05-10 |
| 1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
| 1184263733 | Adenike Awolola | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-12-31 |
| 1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
| 1699263269 | Lysianne Van Pham | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-04-28 |
| Find all providers in SAN DIEGO | ||||
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| 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.