LEANDER ENRIQUEZ MANZANO (MD) – Family Medicine Physician, NPI 1215040084

LEANDER ENRIQUEZ MANZANO (MD) is a healthcare provider. based in Arleta, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A67142 (CA). The NPI Number for LEANDER ENRIQUEZ MANZANO (MD) is 1215040084

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
LEANDER ENRIQUEZ MANZANO (MD)
NPI
1215040084
Phone
(818) 830-7033
Address
8902 WOODMAN AVE
Enumeration Date
16 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
8188307080
Graduation Year
1997 (29 years ago)
PAC ID
9739347824
Group Practice PAC ID
3476546227
Professional Enrollment ID
I20120221000361
Address ID
CA913316401AR8902XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for LEANDER ENRIQUEZ MANZANO (MD)

  • 8902, Woodman Avenue, Arleta, Los Angeles, Los Angeles County, California, 91331, United States

    ARLETA, CA 913316401

    Phone: (818) 830-7033

    Fax: (818) 830-7280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($15).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120221000361IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample8543$0
View full utilization report →

Insurance plans in this area (ZIP 91331)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476546227View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
General PracticeCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is LEANDER ENRIQUEZ MANZANO (MD) identified in CMS data?
CMS-hosted NPPES data lists LEANDER ENRIQUEZ MANZANO (MD) with NPI 1215040084.
Does CMS list LEANDER ENRIQUEZ MANZANO (MD) as active?
Yes — LEANDER ENRIQUEZ MANZANO (MD) is active in the NPI listing used on this page.
What is LEANDER ENRIQUEZ MANZANO (MD)'s specialty?
The listing groups LEANDER ENRIQUEZ MANZANO (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LEANDER ENRIQUEZ MANZANO (MD)?
LEANDER ENRIQUEZ MANZANO (MD)'s geographic hint is Arleta, California in our summary view.
Why does LEANDER ENRIQUEZ MANZANO (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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