Vanessa L Mansilla, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP17679 Issued in CA

Practice address

6517 Eastern Ave
Bell Gardens, CA 90201-3003

Phone

(323) 773-8295

Fax

(323) 773-0656

NPI assigned

Mar 27, 2008

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

Other identifiers 2

Other names 1

• Vanessa Lizzet Mansilla Other name

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

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haven Healthcare Home health agency, Signal Hill, CA, CCN 058121

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Azul Medical Clinic Inc

  • Primary Care Clinic/Center
  • Bell Gardens, CA
  • NPI 1679626436
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hye Quality Home Health, Inc.

  • Home Health Agency
  • Signal Hill, CA
  • NPI 1760444194
  Care Compare affiliation

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1568634723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-8295",
            "fax_number": "323-773-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-8295",
            "fax_number": "323-773-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSILLA",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP17679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "NP17679",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA RN BOARD",
            "identifier": "NP17679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MANSILLA",
            "middle_name": "LIZZET",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leticia Lopez, LCSW
• Valerie Loza, BS
• Luis Lozano
• Chan T Luc, FNP
• Isabelle Maciel, BA, CLE
• Ingrid Martinez
• Aditi Mathur, DDS
• Monica Mathur, DDS
• Nadine Alicia Medley-Jackson
• Roxanna Mendez

• Family Nurse Practitioner in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.