Active NPI
Curtis Manolesco
- Physician Assistant
- Loma Linda, CA
National Provider Identifier
1336799055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11074 San Juan St
Loma Linda, CA 92354-2714 - Phone
- (310) 370-1711
- NPI assigned
- Sep 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11074 San Juan St
Loma Linda, CA 92354-2714
Mailing address
11074 San Juan St
Loma Linda, CA 92354-2714
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568419200000",
"number": "1336799055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11074 SAN JUAN ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11074 SAN JUAN ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542714",
"telephone_number": "310-370-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOLESCO",
"first_name": "CURTIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-14",
"last_updated": "2019-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.