SHYLO ANN MANZANARES


Address: 2055 Lincoln Ave, Pasadena, CA 91103-1324
Phone: 6267986793

SHYLO ANN MANZANARES (NPI# 1770881450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770881450
Entity Type Individual
Full Name SHYLO ANN MANZANARES
Other Name SHYLO ANN MONTANO
Practice Address 2055 Lincoln Ave
Pasadena
CA 91103-1324
Mailing Address 2055 North Lincoln Ave
Pasadena
CA 91103-1324
Practice Telephone 6267986793
Enumeration Date 2011-03-04
Last Update Date 2012-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2055 LINCOLN AVE
City PASADENA
State CA
Zip Code 91103-1324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659363562 Nazifah Khairullah Pediatrics 2055 Lincoln Ave, Pasadena, CA 91103-1324 2005-08-17
1184249948 Deborah A Noble Registered Nurse 2055 Lincoln Ave, Pasadena, CA 91103-1324 2020-06-08
1700393089 Graciela Medrano Licensed Vocational Nurse 2055 Lincoln Ave, Pasadena, CA 91103-1324 2018-01-08
1548643521 Hong-yuan Hsin Dentist 2055 Lincoln Ave, Pasadena, CA 91103-1324 2015-07-08
1366856098 Community Health Alliance of Pasadena Clinic/Center 2055 Lincoln Ave, Pasadena, CA 91103-1324 2014-06-20
1609145986 Kevin Simon Counselor 2055 Lincoln Ave, Pasadena, CA 91103-1324 2011-12-15
1083993067 Simona Somerville Student in an Organized Health Care Education/Training Program 2055 Lincoln Ave, Pasadena, CA 91103-1324 2011-08-09
1275811564 Colleen S Voronel Student in an Organized Health Care Education/Training Program 2055 Lincoln Ave, Pasadena, CA 91103-1324 2011-08-03
1154609469 Jessica Tapia Counselor 2055 Lincoln Ave, Pasadena, CA 91103-1324 2011-08-03
1497046981 Vessela Papazova Counselor 2055 Lincoln Ave, Pasadena, CA 91103-1324 2011-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013407071 Sean Patrick Comingore Counselor 1680 N. Fair Oaks Ave., Pasadena, CA 91103 2018-05-15
1093230252 John Jesus Smith Rehabilitation Practitioner 867 Fair Oaks Ave, Pasadena, CA 91103 2017-08-09
1760906085 Roberto Sotelo Jr. Licensed Vocational Nurse 867 North Fair Oaks Ave., Pasadena, CA 91103 2017-07-28
1477076172 Towana Danielle Hooks Rehabilitation Practitioner 867 North Fair Oaks, Pasadena, CA 91103 2017-07-25
1437671807 Yolanda Centeno Marriage & Family Therapist 867 Fairoaks., Pasadena, CA 91103 2017-07-07
1306366604 Joseph Anthony Zepeda Counselor 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 2017-06-27
1922537372 Chaznii Bradford Licensed Vocational Nurse 867 N. Fair Oaks, Pasadena, CA 91103 2017-06-08
1629505425 Wassim Ammary Pharmacist 1855 South Fair Oaks Ave, Pasadena, CA 91103 2017-05-11
1679005920 Grace Caroline Seto Marriage & Family Therapist 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 2017-03-28
1225575293 Catherine Lynn Gray Psychologist 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 2017-01-27
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669008991 Delman Lee Williams Rehabilitation Practitioner 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 2020-03-18
1548805344 Aimee Isabelle Rodriguez Rehabilitation Practitioner 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 2019-11-15
1518427830 Samantha Jo Elvira Haun Rehabilitation Practitioner 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 2019-03-22
1477041580 Imani Nicole Glenn Rehabilitation Practitioner 1575 E Washington Blvd, Pasadena, CA 91104-2675 2018-04-24
1093230252 John Jesus Smith Rehabilitation Practitioner 867 Fair Oaks Ave, Pasadena, CA 91103 2017-08-09
1477076172 Towana Danielle Hooks Rehabilitation Practitioner 867 North Fair Oaks, Pasadena, CA 91103 2017-07-25
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1366821613 Claudia Boileu-flores Rehabilitation Practitioner 940 Avenue, 64, Pasadena, CA 91105 2015-05-20
1497161756 Marine Bambakyan Rehabilitation Practitioner 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 2014-07-08
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Competitor

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City PASADENA
Zip Code 91103

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Dataset Information

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.

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