Liza M Manese, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35148 Issued in CA

Practice address

19665 Valley Blvd
Walnut, CA 91789-2125

Phone

(909) 598-8820

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1285856104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19665 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892125",
            "telephone_number": "909-598-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19665 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892125",
            "telephone_number": "909-598-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESE",
        "first_name": "LIZA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL(CA.MEDICAL PROG)",
            "identifier": "B35148-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luvlee'S Residential Care, Inc.
• Xinxin Ma
• Purity W Macharia, RN
• Manese Dental Inc
• Dario M Manese, DMD
• Carolyn Collins Mansour
• Mark D Wang DMD Inc.
• Kevin Mark, ATC, EMT-B
• Stacey Marr, PTA
• Daniel Eric Martinez

• General Practice Dentistry in Walnut, CA
• Providers in Walnut, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.