Manuel Ernesto Umanzor, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA13435 Issued in CA

Practice address

7444 Lankershim Blvd
North Hollywood, CA 91605-2801

Phone

(818) 765-4917

Fax

(818) 765-0804

NPI assigned

Nov 21, 2006

Sex

Male

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Comprehensive Community Health Centers Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1356362743
  Medicare reassignment NPD
• Clinica Medica Internacional, Inc

  • Preferred Provider Organization
  • North Hollywood, CA
  • NPI 1427123504
  NPD Authorized official
• Comprehensive Community Health Centers, Inc

  • Family Medicine Physician
  • Arleta, CA
  • NPI 1346951654
  NPD
• Ovi Moas M D a Professional Corporation

  • Family Medicine Physician
  • Temple City, CA
  • NPI 1003856402
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871668152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052801",
            "telephone_number": "818-765-4917",
            "fax_number": "818-765-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052801",
            "telephone_number": "818-765-4917",
            "fax_number": "818-765-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMANZOR",
        "first_name": "MANUEL",
        "middle_name": "ERNESTO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Trusty
• Rachel Nicole Tuck
• Norman Tunis
• Christopher Turner
• Cody Turner
• Jessica Underwood, D.C.
• Sandra Unger, LMFT
• Unique Care Home Health
• Unique Diagnostics Center Inc
• Unique Hospice Care Inc

• Medical Physician Assistant in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.