Fernanda Manriquez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27709 Issued in CA

Practice address

2445 Truxtun Rd Ste 205
San Diego, CA 92106-6154

Phone

(619) 633-2119

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1326663014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ROOSEVELT RD # 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 TRUXTUN RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066154",
            "telephone_number": "619-633-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Roosevelt Rd # 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921066180",
            "country_code": "US",
            "telephone_number": "619-501-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRIQUEZ",
        "first_name": "FERNANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodyleen Hizon Manriquez-Nash, RN
• Andrea Manriquez
• Andrea Ariadna Manriquez
• Brooke Kathryn Manriquez, D.P.T.
• Efrain Manriquez
• Ruben Manriquez
• Sabrina Manriquez, LMFT
• Bernard Manschot, LCSW
• Tammy Manse, RD
• Lauren-Taylor Erika Mansfield

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.