Individual provider Active NPI

Maria Mank

  • Family Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1306530886
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022747 Issued in CA
Practice address
1401 S Baldwin Ave
Arcadia, CA 91007-7922
Phone
(866) 389-2727
NPI assigned
Jun 7, 2023
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022747 CA Primary

Addresses

Primary practice location

1401 S Baldwin Ave
Arcadia, CA 91007-7922

Mailing address

450 E Huntington Dr
Arcadia, CA 91006-3748

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230728002874 CA Practitioner - Nurse Practitioner 0941661532 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

450 E Huntington Dr
Arcadia, CA 91006-3748
Phone (626) 254-2100

65 N Madison Ave
Suite 800
Pasadena, CA 91101-2038
Phone (626) 792-3141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022747CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Jun 27, 2023 Accepting new patients
The Huntington Medical Foundation CurrentSince Oct 20, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Jun 27, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Huntington Medical Foundation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3064

Interoperability endpoints

  • Direct secure messaging: mmank206968@westdirect.optum.com
  • Direct secure messaging: mmank530551@direct.cshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1306530886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077922",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANK",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.