MRS. NERCY MANEZ (NPI# 1790905438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905438 |
| Entity Type | Individual |
| Full Name | MRS. NERCY MANEZ |
| Credential | PA |
| Practice Address |
2015 Birch Rd Suite 509 Chula Vista CA 91915-2002 |
| Mailing Address |
Po Box 881144 San Diego CA 92168-1144 |
| Practice Telephone | 6192160842 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17995 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA LICENSE | PA17995 | 01 |
| Street Address |
2015 BIRCH RD SUITE 509 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083921472 | Tarsy Shordon | Physician Assistant | 2015 Birch Rd, Suite 509, Chula Vista, CA 91915-2002 | 2010-09-07 |
| 1962694364 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2015 Birch Rd, Otay Ranch Town Ctr Ste #1019, Chula Vista, CA 91915-2002 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922505775 | Christopher B Vargas | Physician Assistant | 2452 Fenton St Ste C203, Chula Vista, CA 91914-3599 | 2018-04-09 |
| 1295273639 | Mobile Wound Care-san Diego Nd | Physician Assistant | 1415 Santa Diana Rd, Chula Vista, CA 91913-2745 | 2017-02-06 |
| 1790912103 | Angela Iskandar Anak-agung-gede | Physician Assistant | 480 4th Avenue, Suite 307, Chula Vista, CA 91910 | 2009-06-12 |
| 1306470372 | Rachel Todd | Physician Assistant | 480 4th Ave Ste 307, Chula Vista, CA 91910-4403 | 2020-02-27 |
| 1902359607 | Laura Bradley | Physician Assistant | 480 4th Ave, Suite 307, Chula Vista, CA 91910-4410 | 2016-07-28 |
| 1306202320 | Jennifer Leigh Willins | Physician Assistant | 1295 Broadway, Chula Vista, CA 91911-2982 | 2016-01-06 |
| 1407211881 | Ernest Ritualo Mejia | Physician Assistant | 480 4th Ave, Suite 202, Chula Vista, CA 91910-4410 | 2015-12-29 |
| 1518375179 | Heather Doulaki | Physician Assistant | 971 Lane Ave, Chula Vista, CA 91914-3501 | 2014-07-28 |
| 1417223165 | Jeanna Cash Tapia | Physician Assistant | 2452 Fenton St, Suite C101, Chula Vista, CA 91914-3599 | 2012-03-27 |
| 1639459720 | Eric R Briones | Physician Assistant | 1400 E Palomar St, Chula Vista, CA 91913-1800 | 2011-08-22 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
Please comment or provide details below to improve the information on MRS. NERCY MANEZ.
| 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.