Mary Rose Bicierro Manzana, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

45917 Issued in CA

Practice address

24307 Astor Racing CT
Valencia, CA 91354-4918

Phone

(661) 714-1361

Fax

(661) 294-5018

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maryrose.manzana.p1@direct.ariachc.nextgenshare.com

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.

• Mary Rose B. Manzana DDS Inc

  • General Practice Dentistry
  • Valencia, CA
  • NPI 1205022662
  NPD (past) Authorized official
• Aria Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanford, CA
  • NPI 1225557739
  NPD (past)
• Aria Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hanford, CA
  • NPI 1467971960
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1811031057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24307 ASTOR RACING CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913544918",
            "telephone_number": "661-714-1361",
            "fax_number": "661-294-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24307 ASTOR RACING CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913544918",
            "telephone_number": "661-714-1361",
            "fax_number": "661-294-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 W 8th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-587-2505",
            "fax_number": "559-587-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 W 8th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-587-2505",
            "fax_number": "559-587-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZANA",
        "first_name": "MARY ROSE",
        "middle_name": "BICIERRO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cal E Manska
• Christopher Manska
• Catherine R.E. Manuel, M.D.
• Charles Manuel
• Robrishia Manuel
• Maria Angelica Gabriel Marasigan, FNP
• Patricia Maravilla
• Angela Margolis
• Susan Elaine Margotta, LMFT
• Pedram Azari Marhabi, DDS

• Dentist in Valencia, CA
• Providers in Valencia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.