Leander Enriquez Manzano, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A67142 Issued in CA

Practice address

8902 Woodman Ave
Arleta, CA 91331-6401

Phone

(818) 830-7033

Fax

(818) 830-7280

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, Irvine, California College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Proyecto del Barrio IncGroup PAC ID 3476546227, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• El Proyecto del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • Azusa, CA
  • NPI 1770696023
  Medicare reassignment Care Compare group NPD
• El Proyecto del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arleta, CA
  • NPI 1083624423
  NPD
• El Proyecto del Barrio, Inc.

  dba El Proyecto del Barrio,Inc Northridge Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Northridge, CA
  • NPI 1093181448
  NPD
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Pacifica of the Valley Corporation

  dba dba Pacifica Hospital of the Valley

  • Pharmacy
  • Sun Valley, CA
  • NPI 1700963790
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215040084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316401",
            "telephone_number": "818-830-7033",
            "fax_number": "818-830-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 WOODMAN AVE",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316401",
            "telephone_number": "818-830-7033",
            "fax_number": "818-830-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "LEANDER",
        "middle_name": "ENRIQUEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDC GRP #",
            "identifier": "BCP70468F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70468F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PLANNING GRP #",
            "identifier": "HAP70468F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Ma, PHARMD
• Jose Juan Macias, L.C.S.W.
• Shideh Mansouri, D.D.S.
• Jennifer V. Mansourian, OTR/L
• Manuel Deleon DDS a Dental Corporation
• Judith Carole Marcus, PA
• Donneta Patrice Marshall, FNP
• Ethel De Jesus Martinez
• Julie Martinez
• Masood Imanuel DMD a Dental Corporation (United Family Dental Group)

• Family Medicine Physician in Arleta, CA
• Providers in Arleta, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.