Andrea Manoocheri, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032191 Issued in CA

Practice address

4967 Newport Ave # 112-241
San Diego, CA 92107-3167

Phone

(760) 492-4306

NPI assigned

Oct 18, 2024

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care 360 Advanced Solutions IncGroup PAC ID 2769912906, 12 clinicians

Mobile Wound Care Physician Assistant CorporationGroup PAC ID 6507178514, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mobile Wound Care Physician Assistant Corporation

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1477932978
  Medicare reassignment Care Compare group NPD
• Wound Care 360 Advanced Solutions Inc

  • General Practice Physician
  • Encinitas, CA
  • NPI 1942012539
  Medicare reassignment Care Compare group
• BL Anderson Medical Corporation

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1821627639
  Medicare reassignment NPD
• Wound Docs Apc

  • Surgery Physician
  • Aliso Viejo, CA
  • NPI 1629891676
  Medicare reassignment NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1184445488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 NEWPORT AVE # 112-241",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 NEWPORT AVE # 112-241",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073167",
            "telephone_number": "760-492-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOOCHERI",
        "first_name": "ANDREA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mano
• Quintino Mano
• Anjella Manoharan, MD
• Sreeganesh Manoharan, MD
• Adina Manolescu, DDS
• Julie P Manoogian, PSY.D.
• Manorama M Reddy M.D Inc
• Manos Banbury Corporation
• Yamile Manosalva, CRNA
• Erendira Manriquez-Castillo, M.D.

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.