Nicole Mazmanian, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032198 Issued in CA

Practice address

72780 Country Club Dr Ste 103
Rancho Mirage, CA 92270-4150

Phone

(760) 779-5511

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.mazmanian.1@23413.direct.athenahealth.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.

• Monterey OBGYN Medical Group Inc

  • Specialist
  • Rancho Mirage, CA
  • NPI 1881861797
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1972321628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VISTA MIRAGE WAY",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701906",
            "telephone_number": "760-413-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-779-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZMANIAN",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denny G Mauricio, M.D.
• Nina Khin Maw Maw, M.D.
• Louis May, MD
• Janice E. Mayer, PA-C
• Sanoara Mazid, MD
• Robin D McAllister, MD
• Daniel Kelley McBride, PAC
• Daniel Scott McBride Jr., MD
• Julie McCammon
• Felicia McCaughey, PHARM.D.

• Family Nurse Practitioner in Rancho Mirage, CA
• Providers in Rancho Mirage, 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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.