Manuel De la Torre Jr.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

44199 Monroe St Ste B
Indio, CA 92201-3094

Phone

(760) 863-8047

NPI assigned

Aug 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1083498885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84871 AVENUE 52",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922362407",
            "telephone_number": "760-485-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST STE B",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013094",
            "telephone_number": "760-863-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44199 Monroe St Ste B",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922013094",
            "country_code": "US",
            "telephone_number": "760-863-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "MANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd A Dawson, M.D.
• Claudia De la Cruz
• Jose De la Cruz
• Mary Jo De la Garza
• Kylie De la Torre
• Fe Odette De Los Santos
• Kristen Dean
• Margaret L Deering, FNP
• Amanda Degroot, RADT
• Mary Dehar

• Community Health Worker in Indio, CA
• Providers in Indio, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.