Mercy Prosthetics & Orthotics Group

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MERCY PROSTHETICS & ORTHOTICS GROUP

Practice address

1390 E 6TH St Ste 4
Beaumont, CA 92223-2516

Phone

(951) 966-7661

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mena Salama Manolly, CPONPI 1013697002

Title

Certified Prosthetist Orthtotist

Phone

(951) 299-8844

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mena S Manolly Sr., CPO

  • Prosthetist
  • Riverside, CA
  • NPI 1013697002

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1952149692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E 6TH ST STE 4",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232516",
            "telephone_number": "951-299-8844",
            "fax_number": "951-717-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E 6TH ST STE 4",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232516",
            "telephone_number": "951-966-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PROSTHETICS & ORTHOTICS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "MANOLLY",
        "authorized_official_first_name": "MENA",
        "authorized_official_middle_name": "SALAMA",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST ORTHTOTIST",
        "authorized_official_telephone_number": "951-299-8844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Medes, RPT
• Meghanne Kruizenga, DDS Apc
• Liliana Naranjo Mejia
• Maged Melek, M.D.
• Teresa Mendoza Muwwakkil, WELLNESS COACH II
• Anne-Marie Meyer, CCC-SLP
• Mfi Wellwood Center
• Nellie Barbara Mgeni
• Jennie C Milliner, OTR/L
• Shyrea Minton

• Prosthetic/Orthotic Supplier in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.