Active NPI
Melissa Marie Manikis
- Registered Nurse
- Chino Hills, CA
National Provider Identifier
1720745441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95025492
- Practice address
- 14753 Foxwood Rd
Chino Hills, CA 91709-5188 - Phone
- (626) 806-0008
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95025492 | CA | Primary |
Addresses
Primary practice location
14753 Foxwood Rd
Chino Hills, CA 91709-5188
Mailing address
14753 Foxwood Rd
Chino Hills, CA 91709-5188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025492 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1720745441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14753 FOXWOOD RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14753 FOXWOOD RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095188",
"telephone_number": "626-806-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIKIS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95025492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
- Francine Robin Maltz
- Nerissa Mamaril, M.S. CCC-SLP
- Mana Kafaei DDS, Inc.
- Catherine Reyes Manahan, D.D.S.
- Mand Enterprise LLC Dba 1Heart Caregiver Services Chino Hills
- Mansour Chiropractic Inc.
- Albert D. Mansour, D.C.
- Kevin Mansour
- Paul Mansour, PHARMD
- Manuel C Rivera MD a Professional Corporation a California Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.