Individual provider Active NPI

Anna Manzyuk, NP

  • Family Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1013635135
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021743 Issued in CA
Practice address
8341 Fair Oaks Blvd Ste C
Carmichael, CA 95608-1905
Phone
(916) 932-4163
Fax
(916) 932-4167
NPI assigned
Aug 15, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021743 CA Primary

Addresses

Primary practice location

8341 Fair Oaks Blvd Ste C
Carmichael, CA 95608-1905

Mailing address

1600 Creekside Dr Ste 2400
Folsom, CA 95630-3485
Phone (916) 932-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002449 CA Practitioner - Nurse Practitioner 8527437144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Davis School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8341 Fair Oaks Blvd
Suite C
Carmichael, CA 95608-1905
Phone (916) 999-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman MD PC Single Specialty CurrentSince Jun 23, 2025 Accepting new patients
Bingtao Lin, MD, PC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Golden State Pain Solutions Inc Single Specialty CurrentSince Aug 19, 2024 Accepting new patients
Christopher Chen, M.D., Inc. Single Specialty PastSince Nov 1, 2022 Accepting new patients

Locations

8341 Fair Oaks Blvd
Ste C
Carmichael, CA 95608
Phone (916) 932-4163

1600 Creekside Dr
Ste 2400
Folsom, CA 95630
Phone (916) 932-4163

39022 Presidio Way
Fremont, CA 94538
Phone (510) 792-3743

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

3050 Montrose Ave
La Crescenta, CA 91214
Phone (818) 236-3400

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

1575 7th Ave
San Francisco, CA 94122
Phone (415) 242-8380

120 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 272-1400

1550 Silveira Pkwy
San Rafael, CA 94903
Phone (415) 446-3817

1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055

1260 Williams Way
Yuba City, CA 95991
Phone (530) 749-3000

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1013635135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 2400",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303485",
            "telephone_number": "916-932-4163",
            "fax_number": "916-932-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 FAIR OAKS BLVD STE C",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081905",
            "telephone_number": "916-932-4163",
            "fax_number": "916-932-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZYUK",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.