Anthony Stephen Manzo, PA-C, PARAMEDIC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57674 Issued in CA

Practice address

27522 Antonio Pkwy
Ladera Ranch, CA 92694-2165

Phone

(949) 207-3786

NPI assigned

Oct 9, 2018

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Male

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

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sun Medical Group, Inc

  dba AFC Ladera RAnch

  • Urgent Care Clinic/Center
  • Ladera Ranch, CA
  • NPI 1114588704
  Medicare reassignment Care Compare group
• Sun Medical Group, Inc.

  dba AFC Urgent Care Anaheim

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1114673902
  NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1356816920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27522 ANTONIO PKWY STE P3",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942166",
            "telephone_number": "949-207-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27522 ANTONIO PKWY",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942165",
            "telephone_number": "949-207-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "ANTHONY",
        "middle_name": "STEPHEN",
        "credential": "PA-C, PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & M Physical Therapy Inc.
• Bethany Jennifer Malamatenios, M.A., CCC-SLP
• Manago Chiropractic Inc
• David C Manago, D.C.
• Lucy Mangum
• Debbie Jacqueline Marshall, RDHAP
• Miki Martin
• Chitralekha Mathur, DDS
• David Stanley McCann, DDS
• Brittney McIntosh, CCC-SLP

• Physician Assistant in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.