Individual provider Active NPI

Alexis Purino Manalo

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1396615381
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037521 Issued in CA
Practice address
1611 Pomona Rd # 230
Corona, CA 92878-4324
Phone
(818) 605-7976
NPI assigned
Nov 6, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 95037521 CA Primary

Addresses

Primary practice location

1611 Pomona Rd # 230
Corona, CA 92878-4324

Mailing address

780 N Towne Ave
Claremont, CA 91711-4186
Phone (818) 605-7976

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
I20251205001964 CA Practitioner - Nurse Practitioner 4486147691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95037521CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Care Health & Wellness Single Specialty CurrentSince Sep 21, 2025 Accepting new patients
Sharwin Tafazoli Inc Single Specialty CurrentSince Jan 10, 2026 Accepting new patients

Locations

1611 Pomona Rd
#230
Corona, CA 92878
Phone (818) 605-7076

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1396615381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 N TOWNE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114186",
            "telephone_number": "818-605-7976",
            "fax_number": "818-337-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POMONA RD # 230",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784324",
            "telephone_number": "818-605-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "ALEXIS",
        "middle_name": "PURINO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.