Individual provider Active NPI

Manuel Hazael Barriga, FNP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1609642099
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024078 Issued in CA
Practice address
1550 Pepper Dr Ste C
El Centro, CA 92243-4166
Phone
(760) 312-5900
Fax
(866) 493-3117
NPI assigned
Nov 28, 2023
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 95024078 CA Primary

Addresses

Primary practice location

1550 Pepper Dr Ste C
El Centro, CA 92243-4166

Mailing address

125 S 5TH St
Brawley, CA 92227-2408
Phone (760) 344-8100

Other practice location 1

420 Heffernan Ave Ste B2
Calexico, CA 92231-4718
Phone (760) 618-4625

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
I20241016000199 CA Practitioner - Nurse Practitioner 9537691548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Suarez a Professional CorporationGroup PAC ID 4082063201, 4 clinicians

Practice addresses (Care Compare)

1550 Pepper Dr
Suite C
El Centro, CA 92243-4166
Phone (760) 312-5900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Suarez a Professional Corporation Single Specialty CurrentSince Sep 23, 2024 Accepting new patients
Imperial Valley Family Care Medical Group, Apc Single Specialty Past Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

125 S 5th St
Ste A
Brawley, CA 92227
Phone (760) 344-8100

420 Heffernan Ave
Ste B2
Calexico, CA 92231
Phone (760) 618-4625

1550 Pepper Dr
Ste C
El Centro, CA 92243
Phone (760) 312-5900

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1609642099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272408",
            "telephone_number": "760-344-8100",
            "fax_number": "866-493-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PEPPER DR STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434166",
            "telephone_number": "760-312-5900",
            "fax_number": "866-493-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Heffernan Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922314718",
            "country_code": "US",
            "telephone_number": "760-618-4625",
            "fax_number": "866-493-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIGA",
        "first_name": "MANUEL",
        "middle_name": "HAZAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.