Individual provider Active NPI

Aneela Manzoor, FNP

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1649784398
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007961 Issued in CA
Practice address
817 S Main St Ste D
Corona, CA 92882-3407
Phone
(951) 339-8459
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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 95007961 CA Primary

Addresses

Primary practice location

817 S Main St Ste D
Corona, CA 92882-3407

Mailing address

9726 Ramsgate PLZ
Garden Grove, CA 92844-3152
Phone (714) 600-5072

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
I20180626001452 CA Practitioner - Nurse Practitioner 7113272550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians
Im-FSR IncGroup PAC ID 6901035138, 28 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007961CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saab Progressive Medicine a Professional Medical Corporation CurrentSince Dec 1, 2024 Accepting new patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Sep 1, 2024 Accepting new patients
Am Telehealth Services CurrentSince Jul 9, 2023 Accepting new patients
Sohail Manzoor, M.D., Inc Past Accepting new patients
Sunrise Medical Associates Inc Past Accepting new patients

Locations

817 S Main St
Ste D
Corona, CA 92882
Phone (951) 339-8459

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1649784398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 RAMSGATE PLZ",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443152",
            "telephone_number": "714-600-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S MAIN ST STE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823407",
            "telephone_number": "951-339-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZOOR",
        "first_name": "ANEELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.