Active NPI
Elicia Marie Manriquez
- School Counselor
- Richmond, CA
National Provider Identifier
1235702747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 3201 Pullman Ave Apt 104
Richmond, CA 94804-3174 - Phone
- (510) 383-6699
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | CA | Primary |
Addresses
Primary practice location
3201 Pullman Ave Apt 104
Richmond, CA 94804-3174
Mailing address
3201 Pullman Ave Apt 104
Richmond, CA 94804-3174
Phone (510) 383-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUECROSS | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1235702747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 PULLMAN AVE APT 104",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948043174",
"telephone_number": "510-383-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PULLMAN AVE APT 104",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948043174",
"telephone_number": "510-383-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUEZ",
"first_name": "ELICIA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BLUECROSS",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.