Individual provider Active NPI

Roxana Manuel, PA-C

  • Medical Physician Assistant
  • Pomona, CA
National Provider Identifier
1760718233
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20577 Issued in CA
Practice address
215 W Pearl St
Pomona, CA 91768-3114
Phone
(872) 231-3162
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20577 CA Primary

Addresses

Primary practice location

215 W Pearl St
Pomona, CA 91768-3114

Mailing address

PO Box 7410882
Chicago, IL 60674-0882
Phone (702) 899-0595

Other practice location 1

1010 W La Veta Ave Ste 615
Orange, CA 92868-4310
Phone (714) 223-7000

Other names 1

  • Roxana Cueva Other name

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
I20091216000447 CA Practitioner - Physician Assistant 7214077668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

9440 Citrus Ave
Fontana, CA 92335-5512
Phone (312) 635-0973

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20577CAMDSpeech-Language Pathologist
PA20577CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers of Rehabilitation & Pain Medicine Inc CurrentSince Nov 18, 2010 Accepting new patients
Integrated Rehab Consultants California Inc CurrentSince Sep 2, 2025 Accepting new patients
Fred Nowroozi, M. D., Inc. Past Accepting new patients

Locations

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

1041 E Yorba Linda Blvd
Ste 210
Placentia, CA 92870
Phone (714) 233-7000

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

651 N Main St
Pomona, CA 91768
Phone (909) 227-0750

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

Interoperability endpoints

  • Direct secure messaging: roxanne.manuel.2@24378.direct.athenahealth.com

Organizations & group practices 4

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1760718233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410882",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740882",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W PEARL ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683114",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W La Veta Ave Ste 615",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684310",
            "country_code": "US",
            "telephone_number": "714-223-7000",
            "fax_number": "833-471-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "ROXANA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANA",
            "last_name": "CUEVA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.