Stephanie Manipon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006846 Issued in CA

Practice address

9730 Mission Gorge Rd
Santee, CA 92071

Phone

(866) 389-2727

NPI assigned

Sep 3, 2017

Last updated

Jul 16, 2018By the provider in NPPES

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vineland Family Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • North Hollywood, CA
  • NPI 1386513232
  Medicare reassignment NPD
• Van Nuys Family Medical Clinic Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Panorama City, CA
  • NPI 1578430278
  NPD

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

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1811415425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713808",
            "telephone_number": "888-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3998 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92056",
            "country_code": "US",
            "telephone_number": "760-630-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2760 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202110",
            "country_code": "US",
            "telephone_number": "888-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIPON",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-03",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Mauro Maitilasso
• Farah Makani, DPT
• Monvelea Makor
• Lyndsey Malvestuto
• Klara Cerina Ledesma Manaois
• Lauren Elizabeth Mann, MS, CF-SLP
• Eva Marie Marcelli, M.A. LMFT
• Melissa Joan Marcy, L. AC., DIPL. OM
• Marea MD
• Brandon Kent Maret, PTA

• Family Nurse Practitioner in Santee, CA
• Providers in Santee, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.