Individual provider Active NPI

Catherine R.E. Manuel, M.D.

  • Pediatrics Physician
  • Valencia, CA
National Provider Identifier
1649304692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A65890 Issued in CA
Practice address
23861 McBean Pkwy
Suite B-2
Valencia, CA 91355-2058
Phone
(661) 254-3232
Fax
(661) 254-4212
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A65890 CA Primary

Addresses

Primary practice location

23861 McBean Pkwy
Suite B-2
Valencia, CA 91355-2058

Mailing address

23861 McBean Pkwy
Suite B-2
Valencia, CA 91355-2058
Phone (661) 254-3232

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122002392 CA Practitioner - Pediatric Medicine 5597294413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65890CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Care Foundation CurrentSince Feb 1, 2025 Accepting new patients
Emanate Health Medical Group Past Accepting new patients
Catherine Rose E Manuel, MD Inc Pediatrics Past Accepting new patients

Locations

203 W Badillo St
Covina, CA 91723
Phone (626) 332-6238

1041 W Badillo St
Ste 104
Covina, CA 91722
Phone (626) 732-4168

1305 W Arrow Hwy
Ste 104
San Dimas, CA 91773
Phone (909) 394-9004

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649304692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY",
            "address_2": "SUITE B-2",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552058",
            "telephone_number": "661-254-3232",
            "fax_number": "661-254-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY",
            "address_2": "SUITE B-2",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552058",
            "telephone_number": "661-254-3232",
            "fax_number": "661-254-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "CATHERINE",
        "middle_name": "R.E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A65890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.