Jorge Emmanuel Manjarrez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

41760 Ivy St Ste 101
Murrieta, CA 92562-9408

Phone

(951) 595-4673

Fax

(951) 595-4301

NPI assigned

Apr 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hope Speech and Language Therapy

  • Hearing and Speech Clinic/Center
  • Murrieta, CA
  • NPI 1730571928
  NPD (past)
• Key to Behavior

  • Behavior Analyst
  • Murrieta, CA
  • NPI 1588936074
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1659834802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41760 IVY ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629408",
            "telephone_number": "951-595-4673",
            "fax_number": "951-595-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41760 IVY ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629408",
            "telephone_number": "951-595-4673",
            "fax_number": "951-595-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARREZ",
        "first_name": "JORGE",
        "middle_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iehp.org",
            "affiliation": "N",
            "endpointDescription": "Connect via URL to this web portal to submit PHI",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf files",
            "address_1": "41760 Ivy St Ste 101",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925629408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant Electronic Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "faxes, pdf documents, spreadsheets",
            "address_1": "41760 Ivy St Ste 101",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925629408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CentralReach",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf files and charts",
            "address_1": "41760 Ivy St Ste 101",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925629408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Elena Mallari Heim, PT
• Manavi Dental Corporation
• Stephen Gregory Manga
• Frank A. Mangano, M.D.
• Manila Zaman MD Inc
• Kris Mankin, MPT
• Dylan Mann, MD
• Yashmit Mann
• Sharilyn Kay Manning, LCSW
• Cynthia Mantia

• Behavior Technician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.