Individual provider Active NPI

Jorge Efren Manale, O.T.

  • Occupational Therapist
  • Downey, CA
National Provider Identifier
1528016847
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 4566 Issued in CA
Practice address
7340 Firestone Blvd
Ste 123
Downey, CA 90241-4100
Phone
(562) 927-5820
Fax
(323) 721-3396
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 4566 CA Primary

Addresses

Primary practice location

7340 Firestone Blvd
Ste 123
Downey, CA 90241-4100

Mailing address

817 W Beverly Blvd
Ste 201
Montebello, CA 90640-4265
Phone (562) 338-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000923 CA Practitioner - Occupational Therapist in Private Practice 5395777007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manale Rehabilitation Network IncGroup PAC ID 0749676138, 6 clinicians

Practice addresses (Care Compare)

7320 Firestone Blvd
Suite 105
Downey, CA 90241-4159
Phone 56292758204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 4566CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manale Rehabilitation Network Inc Occupational Therapist CurrentSince Jan 26, 2021 Accepting new patients
Golden Heart Nemt Transportation LLC PastSince Jan 19, 2025 Accepting new patients

Locations

17042 Bellflower Blvd
Bellflower, CA 90706
Phone (562) 991-1324

7320 Firestone Blvd
Ste 105
Downey, CA 90241
Phone 5629275820 ext. 100

5161 Pomona Blvd
Ste 108109
Los Angeles, CA 90022
Phone 3238957872 ext. 201

817 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (562) 991-1324

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SGV Home HealthMontebello, CA, CCN 059689 Home health agency 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest
Corporate Director (50%)
W-2 Managing Employee (50%)
Sep 28, 2011
Oct 14, 2014
Sep 28, 2011
Sep 28, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1528016847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W BEVERLY BLVD",
            "address_2": "STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404265",
            "telephone_number": "562-338-1609",
            "fax_number": "562-927-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 FIRESTONE BLVD",
            "address_2": "STE 123",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414100",
            "telephone_number": "562-927-5820",
            "fax_number": "323-721-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALE",
        "first_name": "JORGE",
        "middle_name": "EFREN",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.