Agnes Castillo Manosca, NP, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20976 Issued in CA

Practice address

5671 Santa Teresa Blvd
105
San Jose, CA 95123-6512

Phone

(408) 284-2280

Fax

(408) 281-2857

NPI assigned

Jan 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1316217987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HALYARD LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944043920",
            "telephone_number": "415-706-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD",
            "address_2": "105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2280",
            "fax_number": "408-281-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOSCA",
        "first_name": "AGNES",
        "middle_name": "CASTILLO",
        "name_prefix": "Ms.",
        "credential": "NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "640686",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "20976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Lynn Mannan, MD
• Amy Mannina, OTR
• Sharon Monique Manning
• Surekha Manohar, MD
• Preethi Manoharan
• Marina Manosov, D.D.S.
• Ziba Manouchehrizadeh, DDS
• Vanessa Manrique
• Xochitl Manriquez
• Hawa Mansaray

• Licensed Practical Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.