Individual provider Active NPI

Manuel A Molina, M.D.

  • Family Medicine Physician
  • Valencia, CA
National Provider Identifier
1851426282
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A045113 Issued in CA
Practice address
27344 Chesterfield Dr
Valencia, CA 91354-2128
Phone
(661) 948-8581
Fax
(661) 945-8474
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A045113 CA Primary

Addresses

Primary practice location

27344 Chesterfield Dr
Valencia, CA 91354-2128

Mailing address

27344 Chesterfield Dr
Valencia, CA 91354-2128
Phone (661) 297-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmolina525461@oc.providencedirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000798 CA Practitioner - Family Practice 0648292235 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45113CAMDMarriage & Family Therapist
A045113CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
Studio City Urgent Care and Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2000 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2000 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

24035 Newhall Ranch Rd
Valencia, CA 91355
Phone (661) 291-3444

12660 Riverside Dr
Ste 110
Valley Village, CA 91607
Phone (818) 761-1800

Organizations & group practices 6

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1851426282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27344 CHESTERFIELD DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913542128",
            "telephone_number": "661-297-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27344 CHESTERFIELD DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913542128",
            "telephone_number": "661-948-8581",
            "fax_number": "661-945-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A045113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmolina525461@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "24035 Newhall Ranch Rd",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913555702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.