Jazelle Ann Manalo

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

728318 Issued in CA

Practice address

500 E Esplanade Dr Ste 600
Oxnard, CA 93036-0525

Phone

(805) 981-2883

Fax

(877) 306-6792

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1063115921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR STE 600",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360525",
            "telephone_number": "805-981-2883",
            "fax_number": "877-306-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR STE 600",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360525",
            "telephone_number": "805-981-2883",
            "fax_number": "877-306-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "JAZELLE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "728318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Malandra, CATC I
• Jesus Maldonado
• Priscilla Maldonado
• Lily Ann Mallare, M.D.
• Crystal Michelle Malta
• Perla A Mancillas
• Tracy D Mandryk, NP
• Manglani Inc (Miraya Pharmacy)
• Umesh Rajkumar Manglani, M.PHARM
• Manoj Khatore MD a Professional Corporation

• Licensed Vocational Nurse in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.